St. Joseph's Medical Center

NPI #1083910699 in Hackensack, Minnesota

Provider Information

NPI Number
1083910699
Entity Type
Organization
Organization Name
St. Joseph's Medical Center
Subpart
Yes (part of a larger organization)
Parent Organization
ST. JOSEPH'S MEDICAL CENTER
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Jan 28, 2011
Last Updated
Jan 28, 2011

Practice Location

Address
110 3RD ST. S
ZIP Code
56452-0485
Phone
(218) 675-5044

Authorized Official

Name
JANI WIEBOLT
Title
PRESIDENT
Phone
(218) 828-8764

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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