# CENTRAL MINNESOTA ANESTHESIA PROVIDERS, PLLC

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

## Provider details

- **NPI number:** 1417315185
- **Authorized official:** WAYNE JANDIK M.D. (OWNER)
- **Authorized official phone:** (320) 492-6506

## Contact information

- **Practice address:** 22415 STATE HIGHWAY 15, SAINT AUGUSTA, MN 56301-9207
- **Practice address phone:** (320) 492-6506
- **Mailing address:** PO BOX 7185, SAINT CLOUD, MN 56302-7185
- **Mailing address phone:** (320) 492-6506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 38209 | MN | Yes |

## Other

- **Enumeration date:** 02/09/2016
- **Last updated:** 06/02/2021