St. Cloud Vamc

NPI #1871640839 in Brainerd, Minnesota

Provider Information

NPI Number: 1871640839
Entity Type: Organization
Organization Name: St. Cloud Vamc
Primary Specialty: Clinic/Center - VA
Enumeration Date: Jan 4, 2007
Last Updated: Jan 17, 2018

Practice Location

Address: 722 NW 7TH ST
City: Brainerd
State: Minnesota
ZIP Code: 56401-2912
Phone: (913) 578-4409

Authorized Official

Name: ERIN POTTER
Title: NPI TEAM MEMBER
Phone: (202) 382-2579

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - VA — VA	261QV0200X	Primary

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