OrganizationActive
Healthstat Onsite Clinic-Marvin Companies
NPI 1073997094 · Preventive Medicine/Occupational Environmental Medicine Physician · Warroad, MN
Provider details
- NPI number
- 1073997094
- Entity type
- Organization
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jill Patton, Director of Risk Management(704) 936-5546
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
802 State Ave Ne
Warroad, MN 56763
Phone: (218) 386-4370
Approximate (ZIP-level) locationGet directions
Mailing address
4651 Charlotte Park Dr
Charlotte, NC 28217-1956
Registry dates
- Enumerated
- 2015-07-20
- Last updated
- 2018-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.