Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Central Lakes Medical Clinic PA

Organization Family Medicine Physician · NPI 1881621761

Central Lakes Medical Clinic PA is a Family Medicine Physician 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
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

Other providers in Crosby