# SHERIDAN ANESTHESIA SERVICES OF MINNESOTA, PC

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

## Provider details

- **NPI number:** 1841531787
- **Authorized official:** KATHLEEN KONDAS (OFFICER)
- **Authorized official phone:** (954) 838-2371

## Contact information

- **Practice address:** 1300 ANNE ST NW, BEMIDJI, MN 56601-5103
- **Practice address phone:** (218) 751-5430
- **Mailing address:** PO BOX 452406, SUNRISE, FL 33345-2406

## 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:** 03/01/2013
- **Last updated:** 09/18/2019