Organization
PRAIRIEVIEW ANESTHESIA AND PAIN MANAGEMENT
Active
Organization
PRAIRIEVIEW ANESTHESIA AND PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY A KLASSEN CRNA (PRESIDENT)
(507) 822-0688
Entity
Organization
Contact information
Practice address
717 S STATE ST STE 100, FAIRMONT, MN 56031-4470
(888) 209-0305
(952) 442-3620
Mailing address
400 10TH ST E, WACONIA, MN 55387-4552
(888) 209-0305
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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