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Organization
GLACIAL RIDGE HOSPITAL DISTRICT
Active
Organization
GLACIAL RIDGE HOSPITAL DISTRICT
Active
Other names
BROOTEN MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK STENSRUD (CEO)
(320) 634-2208
Entity
Organization
Contact information
Practice address
111 PLEASANT AVENUE, BROOTEN, MN 56316
(320) 346-2272
(320) 346-2273
Mailing address
111 PLEASANT AVENUE, P.O. BOX 69, BROOTEN, MN 56316
(320) 346-2272
(320) 346-2273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
966011900
—
MN
Enumeration date
08/02/2006
Last updated
07/18/2012
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