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Organization
REGINA MEDICAL CENTER
Active
Organization
REGINA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK WILSON (CEO)
(651) 480-4104
Entity
Organization
Contact information
Practice address
1175 NININGER RD, HASTINGS, MN 55033-1056
(651) 480-4100
(651) 480-4212
Mailing address
1175 NININGER RD, HASTINGS, MN 55033-1056
(651) 480-4100
(651) 480-4212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
MN
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
282N00000X
General Acute Care Hospital
Primary
—
NULL
Other
Enumeration date
07/10/2006
Last updated
02/28/2008
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