Organization
CHASKA PLAZA SURGERY CENTER, LLC
Active
Other names
Two Twelve Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
AARON JOHNSON (CEO)
(952) 456-7300
Entity
Organization
Contact information
Practice address
111 HUNDERTMARK RD, SUITE 340, CHASKA, MN 55318-4551
(952) 456-7900
(952) 456-7901
Mailing address
3500 AMERICAN BLVD W STE 300, BLOOMINGTON, MN 55431-4442
(952) 456-7900
(952) 456-7901
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PENDING
MN
Other
Enumeration date
07/19/2011
Last updated
04/26/2024
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