# SPECTRUM HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356652481
- **Authorized official:** RACHEL REDIG MD (MD EMERGENCY MEDICIEN PGY 1 RESIDEN)
- **Authorized official phone:** (612) 964-8379

## Contact information

- **Practice address:** 25850 BROLIN BEACH RD, DETROIT LAKES, MN 56501-7978
- **Practice address phone:** (612) 964-8379
- **Mailing address:** 25850 BROLIN BEACH RD, DETROIT LAKES, MN 56501-7978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 06/23/2010
- **Last updated:** 06/23/2010