SC
ST. CLOUD EAR, NOSE & THROAT - SURGICAL SUITES LLC
Adult Day Care
OIG CLEARNPI VERIFIED
Location
SAINT CLOUD, MN
Licensed since
2009
Rate
—
Federal identifiers
NPI registry number1417188830
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameLARRY BOLLER
TitleADMINISTRATOR
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