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Organization

BURNETT MEDICAL CENTER INC

Active
Parent organization
BURNETT MEDICAL CENTER INC
Other names
Burnett Medical Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
BURNETT MEDICAL CENTER INC
Authorized official
CHARLES FAUGHT (CFO)
(715) 463-5353
Entity
Organization

Contact information

Practice address
257 W SAINT GEORGE AVE, GRANTSBURG, WI 54840-7827
(715) 463-5353
Mailing address
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
(952) 653-2525

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
11/15/2013
Last updated
11/15/2013
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