# ALLINA HEALTH SURGERY CENTER- BROOKLYN PARK, LLC

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

## Provider details

- **NPI number:** 1255001525
- **Authorized official:** JESSICA TESKE (LICENSURE ENROLLMENT MANAGER)
- **Authorized official phone:** (205) 263-2559

## Contact information

- **Practice address:** 6001 96TH LANE N, STE 200, BROOKLYN PARK, MN 55443
- **Practice address phone:** (205) 263-2559
- **Mailing address:** 6001 96TH LN N STE 200, MINNEAPOLIS, MN 55445-4602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/17/2021
- **Last updated:** 10/26/2022