# RIDGEVIEW ANESTHESIA ASSOC, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083719215
- **Authorized official:** JULE R BLOCK MD (PRESIDENT)
- **Authorized official phone:** (952) 442-7015

## Contact information

- **Practice address:** 500 S MAPLE ST, WACONIA, MN 55387-1752
- **Practice address phone:** (952) 442-2191
- **Practice address fax:** (952) 442-7016
- **Mailing address:** 29 E MAIN ST, WACONIA, MN 55387-1114
- **Mailing address phone:** (952) 442-7015
- **Mailing address fax:** (952) 442-7016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 1325 | MN | Yes |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 08/22/2020