Organization
MINNESOTA NEUROREHABILITAION HOSPITAL
Active
Organization
MINNESOTA NEUROREHABILITAION HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG V. SEILER (SPECIAL POPULATIONS ADMINISTRATOR)
(218) 739-7224
Entity
Organization
Contact information
Practice address
11615 STATE AVE, BRAINERD, MN 56401-7306
(218) 828-2718
Mailing address
PO BOX 64979, SAINT PAUL, MN 55164-0979
(651) 431-3676
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009516800
—
MN
Enumeration date
10/02/2006
Last updated
02/27/2009
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