Organization
PINE MEDICAL CENTER
Active
Parent organization
PINE MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINE MEDICAL CENTER
Authorized official
TIM ZWICKEY (CHIEF EXECUTIVE OFFICER)
(320) 245-5605
Entity
Organization
Contact information
Practice address
109 COURT AVE S, SANDSTONE, MN 55072-5120
(320) 245-5604
Mailing address
109 COURT AVE S, SANDSTONE, MN 55072-5120
(320) 245-5604
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
330737
MN
Other
Enumeration date
11/02/2006
Last updated
01/24/2008
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