Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Central Lakes Medical Clinic PA

Organization Family Medicine Physician · NPI 1881621761

Central Lakes Medical Clinic PA provides Family Medicine Physician services in Crosby, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

318 E Main St
Crosby, MN 56441-1691 Not confirmed with CMS for 17 years — call before visiting
Phone: (218) 546-8375
Fax: (218) 546-4400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 1160 (MN)

Record details

NPI number1881621761
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Peterson — Ceo · (218) 546-2501
NPI enumeratedJune 27, 2006
Last updated in NPPESOctober 9, 2008
Mailing address318 East Main Street, Crosby, MN 56441-1691

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