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Organization
SUMMIT ANESTHESIA LLC
Active
Organization
SUMMIT ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM BERRY (CHIEF EXECUTIVE OFFICER)
(651) 968-5333
Entity
Organization
Contact information
Practice address
2620 EAGAN WOODS DRIVE, SUITE 300, EAGAN, MN 55121-1466
(651) 730-3532
Mailing address
710 COMMERCE DR, SUITE 200, WOODBURY, MN 55125-4919
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
03/28/2017
Last updated
04/20/2017
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