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Organization
CROSSROADS SURGERY CENTER INC
Active
Organization
CROSSROADS SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GEORGE RICHIE M.D. (OWNER)
(507) 332-9900
Entity
Organization
Contact information
Practice address
1575 20TH ST NW STE 203, FARIBAULT, MN 55021-2930
(507) 332-9900
(507) 332-6800
Mailing address
1575 20TH ST NW STE 203, FARIBAULT, MN 55021-2930
(507) 332-9900
(507) 332-6800
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
8598271
MN
Other
Enumeration date
03/07/2007
Last updated
05/24/2012
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