Organization
PIPESTONE FAMILY CLINIC
Active
Other names
Edgerton Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY BURRIS (HOSPITAL ADMINISTRATOR)
(507) 825-5811
Entity
Organization
Contact information
Practice address
303 5TH AVENUE NORTH, EDGERTON, MN 56128
(507) 442-5424
(507) 442-8498
Mailing address
920 4TH AVE SW, PIPESTONE, MN 56164-1455
(507) 825-5700
(507) 825-4752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2569527
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149723500
—
MN
Enumeration date
10/19/2006
Last updated
04/28/2008
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