# NORTHWEST ANESTHESIA, P.A.

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

## Provider details

- **NPI number:** 1922471416
- **Authorized official:** DR. RICHARD SKOOG M.D. (PRESIDENT)
- **Authorized official phone:** (612) 871-7639

## Contact information

- **Practice address:** 800 E 28TH ST, MINNEAPOLIS, MN 55407
- **Practice address phone:** (612) 863-4000
- **Mailing address:** 2828 CHICAGO AVE, 300, MINNEAPOLIS, MN 55407-1544
- **Mailing address phone:** (612) 871-7639
- **Mailing address fax:** (612) 872-0302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | CRNA 1829 | MN | Yes |

## Other

- **Enumeration date:** 11/05/2015
- **Last updated:** 11/05/2015