NPI Provider: 1407852932
Contact Name: Larson R Lee
Position: CEO Administrator
Phone: (952) 233-4400
St Gertrudes Health Center Information:
St Gertrudes Health Center organization have npi 1407852932, taxonomy code is 314000000X with license number is 2867919 in . This Business address located in 1850 Sarazin St, Shakopee, MN 55379 Minnesota.
Practice Location
Address: 1850 Sarazin St, Shakopee, MN 55379
Phone: (952) 233-4400
Business Location
Address: 1850 Sarazin St, Shakopee, MN 55379
Phone: (952) 233-4400
Fax: (952) 233-4476
Taxonomy
Taxonomy Code: 314000000X
License Number: 2867919
License Number of State: MN
Primary Taxonomy Switch: Y
Enumeration Date: 6/21/2005
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