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Organization
CENTRAL MINNESOTA ANESTHESIA, LTD
Active
Organization
CENTRAL MINNESOTA ANESTHESIA, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY L JOHNSON M.D. (PRESIDENT)
(320) 251-8385
Entity
Organization
Contact information
Practice address
1526 NORTHWAY DR, SAINT CLOUD, MN 56303-1255
(320) 251-8385
Mailing address
14700 28TH AVE N, SUITE 20, PLYMOUTH, MN 55447-4835
(763) 559-3779
(763) 450-3986
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/13/2006
Last updated
08/22/2020
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