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Organization
RIDGEVIEW CLINICS
Active
Organization
RIDGEVIEW CLINICS
Active
Other names
Western Orthopaedics & Sports Medicine Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI BESSE (OPERATIONS & BUSINESS OFFICE MANAGE)
(952) 442-7895
Entity
Organization
Contact information
Practice address
7907 POWERS BLVD, CHANHASSEN, MN 55317-9502
(952) 934-0570
(952) 906-7891
Mailing address
7907 POWERS BLVD, CHANHASSEN, MN 55317-9502
(952) 934-0570
(952) 906-7891
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
40131
MN
363A00000X
Physician Assistant
9792
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
958018200
—
MN
Enumeration date
06/20/2007
Last updated
06/24/2009
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