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Organization
MONTICELLO-BIG LAKE ANESTHESIOLOGY
Active
Organization
MONTICELLO-BIG LAKE ANESTHESIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY FRIESEN (CFO)
(763) 271-2303
Entity
Organization
Contact information
Practice address
1013 HART BLVD, MONTICELLO, MN 55362-8575
(763) 271-2303
(763) 295-4593
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3630
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/31/2006
Last updated
04/29/2008
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