Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

St Joseph's Medical Center

Organization Anesthesiology Physician · NPI 1336465038

St Joseph's Medical Center provides Anesthesiology Physician services in Brainerd, Minnesota. Licensed in Minnesota. Registered with an NPI since 2010.

Licensed in
MN
In the registry since
2010
Specialties on file
2

Practice location Address checks out

523 N 3rd St
Brainerd, MN 56401-3054
Phone: (218) 829-2861
Fax: (218) 828-3103
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 347060 (MN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 347060 (MN)

Record details

NPI number1336465038
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEssentia Health
Authorized official Kevin Boren — Vp Of Finance · (218) 786-1009
Other names St. Joseph'S Medical Center Anesthesia Associates; St. Joseph'S Medical Center Anesthesia Associates
NPI enumeratedApril 20, 2010
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 26, 2024
Mailing address14700 28th Ave N, Suite 20, Plymouth, MN 55447-4835

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