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Organization

RIDGEVIEW ANESTHESIA ASSOC, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULE R BLOCK MD (PRESIDENT)
(952) 442-7015
Entity
Organization

Contact information

Practice address
500 S MAPLE ST, WACONIA, MN 55387-1752
(952) 442-2191
(952) 442-7016
Mailing address
29 E MAIN ST, WACONIA, MN 55387-1114
(952) 442-7015
(952) 442-7016

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1325
MN

Other

Enumeration date
09/13/2006
Last updated
08/22/2020
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