NPI 1083910699
St. Joseph's Medical Center
Practice location
- Address
- 110 3rd St. S, Hackensack, MN 56452-0485
- Phone
- (218) 675-5044
- Mailing address
- 6501 City West Pkwy, Eden Prairie, MN 55344-3248
Authorised official
- Name
- Jani Wiebolt
- Title
- President
- Phone
- (218) 828-8764
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1083910699
- Entity type
- Organization
- NPI issued
- 28 Jan 2011
- Record last updated
- 28 Jan 2011
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.