Sanford Health of Northern Minnesota

NPI #1558563668 in Baudette, Minnesota

Provider Information

NPI Number: 1558563668
Entity Type: Organization
Organization Name: Sanford Health of Northern Minnesota
Primary Specialty: Eyewear Supplier
Enumeration Date: Jun 1, 2007
Last Updated: Jul 2, 2020

Practice Location

Address: 103 MAIN ST
Address 2: SUITE B
City: Baudette
State: Minnesota
ZIP Code: 56623-2475
Phone: (218) 634-1202

Authorized Official

Name: TONY LEE MORRISON
Title: VICE PRESIDENT, REVENUE CYCLE
Phone: (605) 328-8380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X
Eyewear Supplier	332H00000X	Primary

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