Organization
SOUTHDALE ANESTHESIOLOGISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALAN KLAUER M.D. (TREASURER)
(952) 924-5187
Entity
Organization
Contact information
Practice address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 924-5187
(952) 924-5137
Mailing address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 924-5187
(952) 924-5137
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058400200
—
MN
01
—
160412
UCARE MINNESOTA
—
05
—
32895100
—
WI
Enumeration date
03/26/2006
Last updated
08/22/2020
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