Sanford Health of Northern Minnesota

NPI #1285708438 in Bemidji, Minnesota

Provider Information

NPI Number
1285708438
Entity Type
Organization
Organization Name
Sanford Health of Northern Minnesota
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Nov 20, 2006
Last Updated
Jun 30, 2011

Practice Location

Address
1300 ANNE ST NW
ZIP Code
56601-5103
Phone
(218) 751-5430

Authorized Official

Name
MR. JON F. BERGQUIST
Title
BUSINESS OFFICE MANAGER
Phone
(218) 333-5514

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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