# MIDSOTA SURGICAL SUITES PA

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

## Provider details

- **NPI number:** 1952329757
- **Authorized official:** ENNIS H ARNSTON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (320) 253-7257

## Contact information

- **Practice address:** 3701 12TH STREET N, STE 101, ST CLOUD, MN 56303
- **Practice address phone:** (320) 253-7257
- **Practice address fax:** (320) 251-2938
- **Mailing address:** 3701 12TH STREET N, STE 101, ST CLOUD, MN 56303
- **Mailing address phone:** (320) 253-7257
- **Mailing address fax:** (320) 251-2938

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 02/25/2010