# RIDGEVIEW CLINICS

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

## Provider details

- **NPI number:** 1407051154
- **Authorized official:** KRISTI BESSE (OPERATIONS & BUSINESS OFFICE MANAGE)
- **Authorized official phone:** (952) 442-7895

## Contact information

- **Practice address:** 900 6TH ST, HOWARD LAKE, MN 55349-5647
- **Practice address phone:** (952) 442-3190
- **Practice address fax:** (952) 442-3185
- **Mailing address:** PO BOX 1007, HOWARD LAKE, MN 55349-1007
- **Mailing address phone:** (320) 543-2591
- **Mailing address fax:** (320) 543-2693

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 19168 | MN | Yes |
| 363AM0700X | Medical Physician Assistant | 9792 | MN | — |

## Other

- **Enumeration date:** 06/20/2007
- **Last updated:** 06/10/2009