# MIDWEST MED MANAGEMENT, INC

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

## Provider details

- **NPI number:** 1952731895
- **Authorized official:** MS. ANETA M BIZEK (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (612) 987-0775

## Contact information

- **Practice address:** 1935 COUNTY ROAD B2 W, STE 165, ROSEVILLE, MN 55113-2729
- **Practice address phone:** (651) 330-4904
- **Practice address fax:** (651) 330-4954
- **Mailing address:** 1935 COUNTY ROAD B2 W, STE 165, ROSEVILLE, MN 55113-2729
- **Mailing address phone:** (651) 330-4904
- **Mailing address fax:** (651) 330-4954

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 49158 | MN | Yes |

## Other

- **Enumeration date:** 11/13/2013
- **Last updated:** 11/13/2013
