NPI 1073635249
County of Pine
Practice location
- Address
- 1610 Highway 23 N, Sandstone, MN 55072-5009
- Phone
- (320) 216-4140
- Fax
- (320) 216-4101
- Mailing address
- 130 Oriole St E Suite 1, Sandstone, MN 55072-5134
Authorised official
- Name
- Russ Baron
- Title
- Fiscal Superviser
- Phone
- (320) 216-4108
Registered specialties
Public Health or Welfare Agency
Primary
Registry record
- NPI
- 1073635249
- Entity type
- Organization
- NPI issued
- 6 Apr 2007
- Record last updated
- 22 Mar 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.