BIRCH BUNGALOW, LLC
Ambulatory Health at County Highway 124, Fergus Falls, MN

License number
Minnesota 2913
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: KATRINA LEA MOUSER RD, LD
Title: OWNER
Phone: (218) 770-9788
Address
Address
25212 County Highway 124, Fergus Falls, MN 56537
National Provider ID: 1932631405
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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