Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mayo Clinic Health System-Southeast Minnesota Region

Organization Emergency Medicine Physician · NPI 1164400024

Mayo Clinic Health System-Southeast Minnesota Region is an Emergency Medicine Physician in Red Wing, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
8

Practice location Address checks out

701 Hewitt Blvd
Red Wing, MN 55066-2848
Phone: (651) 267-5000
Show map & directions

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

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X (MN)
Emergency Medicine Physician Taxonomy 207P00000X
Clinical Pathology/Laboratory Medicine Physician Taxonomy 207ZP0105X
Hospitalist Physician Taxonomy 208M00000X
Clinical Medical Laboratory Taxonomy 291U00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1164400024
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Morris Miller — Cheif Financial Officer · (507) 594-6449
Other names Mayo Clinic Health System-Red Wing
NPI enumeratedJanuary 2, 2006
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026
Mailing address701 Hewitt Blvd, Red Wing, MN 55066-2848

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