Sanford Health of Northern Minnesota

NPI #1700271061 in Bagley, Minnesota

Provider Information

NPI Number: 1700271061
Entity Type: Organization
Organization Name: Sanford Health of Northern Minnesota
Primary Specialty: Eyewear Supplier
Enumeration Date: Apr 3, 2015
Last Updated: Jul 2, 2020

Practice Location

Address: 1656 CENTRAL ST W STE A
City: Bagley
State: Minnesota
ZIP Code: 56621-4357
Phone: (218) 694-2442

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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