# MINNESOTA ORTHOPAEDIC SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1548219397
- **Authorized official:** DR. PETER D HOLMBERG M.D. (PRESIDENT)
- **Authorized official phone:** (763) 786-9543

## Contact information

- **Practice address:** 8290 UNIVERSITY AVE NE, SUITE 100, FRIDLEY, MN 55432-1847
- **Practice address phone:** (763) 786-0461
- **Practice address fax:** (763) 786-0471
- **Mailing address:** 8290 UNIVERSITY AVE NE, SUITE 100, FRIDLEY, MN 55432-1847
- **Mailing address phone:** (763) 786-0461
- **Mailing address fax:** (763) 786-0471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 05/22/2012