# RIDGEVIEW CLINICS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Western Orthopaedics & Sports Medicine Consultants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376748400
- **Authorized official:** KRISTI BESSE (OPERATIONS & BUSINESS OFFICE MANAGE)
- **Authorized official phone:** (952) 442-7890

## Contact information

- **Practice address:** 611 E FAIRVIEW ST, OLIVIA, MN 56277-4213
- **Practice address phone:** (320) 523-1261
- **Mailing address:** 611 E FAIRVIEW ST, OLIVIA, MN 56277-4213
- **Mailing address phone:** (320) 523-1261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 19168 | MN | Yes |
| 363A00000X | Physician Assistant | 9792 | MN | — |

## Other

- **Enumeration date:** 06/19/2007
- **Last updated:** 08/20/2007