Organization
BRAINERD MEDICAL CENTER INC
Active
Parent organization
ESSENTIA HEALTH
Other names
Essentia Health Brainerd Specialty 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
(218) 828-7194
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
8619454
MN
Other
Enumeration date
11/28/2006
Last updated
02/26/2024
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