# RIDGEVIEW CLINICS

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

## Provider details

- **NPI number:** 1396940052
- **Authorized official:** KRISTI BESSE (OPERATIONS & BUSINESS OFFICE MANAGE)
- **Authorized official phone:** (952) 442-7895

## Contact information

- **Practice address:** 675 WATER ST, EXCELSIOR, MN 55331-3063
- **Practice address phone:** (952) 906-7855
- **Practice address fax:** (952) 470-4523
- **Mailing address:** 675 WATER ST, EXCELSIOR, MN 55331-3063
- **Mailing address phone:** (952) 906-7855
- **Mailing address fax:** (952) 470-4523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 40131 | MN | Yes |
| 363A00000X | Physician Assistant | 9792 | MN | — |

## Other

- **Enumeration date:** 06/20/2007
- **Last updated:** 06/24/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 958018200 | — | MN |