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Organization
CORNER MEDICAL LLC
Active
Organization
CORNER MEDICAL LLC
Active
Other names
Corner Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMI LEE BAGSTAD OHCC, CHCO (COMPLIANCE OFFICER)
(763) 540-6119
Entity
Organization
Contact information
Practice address
4418 HAINES RD STE 1200, DULUTH, MN 55811-1525
(218) 722-3420
(218) 720-6158
Mailing address
2730 NEVADA AVE N, NEW HOPE, MN 55427-2807
(763) 535-5335
(763) 536-3590
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NULL
Other
Enumeration date
08/03/2022
Last updated
11/02/2022
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