# RIDGEVIEW CLINICS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Western Orthopaedics & Sports Medicine Consultants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598960247
- **Authorized official:** MS. KRISTI BESSE (BUSINESS OFFICE MGR)
- **Authorized official phone:** (952) 442-7895

## Contact information

- **Practice address:** 560 S MAPLE ST, SUITE 30, WACONIA, MN 55387-1733
- **Practice address phone:** (952) 442-6525
- **Practice address fax:** (952) 442-6526
- **Mailing address:** 560 S MAPLE ST, SUITE 30, WACONIA, MN 55387-1733
- **Mailing address phone:** (952) 442-6525
- **Mailing address fax:** (952) 442-6526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 19168 | MN | Yes |
| 363A00000X | Physician Assistant | 9792 | MN | — |

## Other

- **Enumeration date:** 06/20/2007
- **Last updated:** 11/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 673283600 | — | MN |