Mayo Clinic Health System-Southeast Minnesota Region

NPI #1922471564 in Red Wing, Minnesota

Provider Information

NPI Number: 1922471564
Entity Type: Organization
Organization Name: Mayo Clinic Health System-Southeast Minnesota Region
Subpart: Yes (part of a larger organization)
Parent Organization: MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
Primary Specialty: Non-Pharmacy Dispensing Site
Enumeration Date: Nov 4, 2015
Last Updated: Nov 28, 2017

Practice Location

Address: 701 HEWITT BLVD
City: Red Wing
State: Minnesota
ZIP Code: 55066-2848
Phone: (651) 267-5261

Authorized Official

Name: DOUGLAS PARKS
Title: CHAIR ADMINISTRATION
Phone: (507) 266-5010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Non-Pharmacy Dispensing Site	332900000X	Primary

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