Healthcare Provider Details

I. General information

NPI: 1285965053
Provider Name (Legal Business Name): CORNER MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2010
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

432 16TH AVE NW
ROCHESTER MN
55901-1860
US

IV. Provider business mailing address

432 16TH AVE NW
ROCHESTER MN
55901-1860
US

V. Phone/Fax

Practice location:
  • Phone: 507-208-4350
  • Fax: 507-208-4236
Mailing address:
  • Phone: 507-208-4350
  • Fax: 507-208-4236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number361419
License Number StateMN

VIII. Authorized Official

Name: MR. SEAN STEINHAUSER
Title or Position: DIRECTOR OF BILLING AND COMPLIANCE
Credential:
Phone: 763-535-5335