MEDICARE: HARVEY CLINIC, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	5076	ND

General Provider Information

NPI Number	:	1922335538
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARVEY CLINIC, PC

Provider Business Mailing Address
First Line	:	110 9TH ST E
Second Line	:	PO 202
City	:	HARVEY
State	:	ND
Zip	:	58341-1503
Country	:	US
Telephone Number	:	701-324-2396
Fax Number	:	701-324-5210

Provider Business Practice Location Address
First Line	:	110 9TH ST E
Second Line	:
City	:	HARVEY
State	:	ND
Zip	:	58341-1503
Country	:	US
Telephone Number	:	701-324-2396
Fax Number	:	701-324-5210

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALAN R LINDEMANN
Credential	:	MD
Telephone Number	:	701-324-2396

Provider Enumeration Date	:	11/03/2009
Last Update Date	:	11/19/2009

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