# METROPOLITAN ANESTHESIA NETWORK, LLP

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

## Provider details

- **NPI number:** 1558314427
- **Authorized official:** PAUL C MCCORMICK MD (PRESIDENT)
- **Authorized official phone:** (763) 559-3779

## Contact information

- **Practice address:** 14700 28TH AVE N, SUITE 20, PLYMOUTH, MN 55447-4876
- **Practice address phone:** (763) 559-3779
- **Mailing address:** PO BOX 47159, PLYMOUTH, MN 55447-0159
- **Mailing address phone:** (763) 559-3779
- **Mailing address fax:** (763) 450-3986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 02/09/2016