Organization
GREATER MINNESOTA TRAUMA CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN COATES (EXECUTIVE DIRECTOR)
(507) 327-5005
Entity
Organization
Contact information
Practice address
208 S MINNESOTA AVE, SAINT PETER, MN 56082-2545
(507) 200-1667
(507) 540-5180
Mailing address
1745 RIGGS RD, SAINT PETER, MN 56082-1621
(507) 327-5005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
02/06/2023
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