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Organization
MANKATO SURGICAL CENTER, L.L.C.
Active
Organization
MANKATO SURGICAL CENTER, L.L.C.
Active
Other names
Mankato Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
SARA L EBERT (CONTROLLER/BUSINESS OFFICE MANAGER)
(507) 388-6000
Entity
Organization
Contact information
Practice address
1411 PREMIERE DR, MANKATO, MN 56001
(507) 388-6000
(507) 388-6913
Mailing address
1411 PREMIERE DR, MANKATO, MN 56001-6076
(507) 388-6000
(507) 388-6913
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
331023
MN
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
10/23/2006
Last updated
03/18/2022
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