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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