Organization
ST. JOSEPH'S MEDICAL CENTER
Active
Parent organization
ESSENTIA HEALTH
Other names
Essentia Health St. Joseph's -Brainerd Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ESSENTIA HEALTH
Authorized official
KEVIN BOREN (VP OF FINANCE)
(218) 786-1009
Entity
Organization
Contact information
Practice address
2024 S 6TH ST, BRAINERD, MN 56401-4529
(218) 828-7100
(218) 828-7194
Mailing address
2024 S 6TH ST, BRAINERD, MN 56401-4529
(218) 828-7100
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
MN
Other
Enumeration date
03/25/2009
Last updated
02/26/2024
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