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Organization
RIDGEVIEW CLINICS
Active
Organization
RIDGEVIEW CLINICS
Active
Other names
Western Orthopaedics & Sports Medicine Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI BESSE (OPERATIONS & BUSINESS OFFICE MANAGE)
(952) 442-7895
Entity
Organization
Contact information
Practice address
900 6TH ST, HOWARD LAKE, MN 55349-5647
(952) 442-3190
(952) 442-3185
Mailing address
PO BOX 1007, HOWARD LAKE, MN 55349-1007
(320) 543-2591
(320) 543-2693
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
19168
MN
363AM0700X
Medical Physician Assistant
9792
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
673283600
—
MN
Enumeration date
06/20/2007
Last updated
06/10/2009
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