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Organization
BLAINE ASC, LLC
Active
Organization
BLAINE ASC, LLC
Active
Other names
Blaine Orthopedic Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS ZEIGLER (VICE PRESIDENT)
(952) 456-7436
Entity
Organization
Contact information
Practice address
11225 ULYSSES STREET NORTHEAST, BLAINE, MN 55434
(952) 847-4089
Mailing address
3500 AMERICAN BLVD W STE 300, BLOOMINGTON, MN 55431-4442
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/30/2017
Last updated
04/26/2024
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