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Organization
RIDGEVIEW CLINICS
Active
Organization
RIDGEVIEW CLINICS
Active
Other names
Western Orthopaedics & Sports Medicine Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTI BESSE (BUSINESS OFFICE MGR)
(952) 442-7895
Entity
Organization
Contact information
Practice address
560 S MAPLE ST, SUITE 30, WACONIA, MN 55387-1733
(952) 442-6525
(952) 442-6526
Mailing address
560 S MAPLE ST, SUITE 30, WACONIA, MN 55387-1733
(952) 442-6525
(952) 442-6526
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
19168
MN
363A00000X
Physician Assistant
9792
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
673283600
—
MN
Enumeration date
06/20/2007
Last updated
11/10/2008
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