Organization
STRAIGHT RIVER MED VAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAPHAEL JEAN LIESKE (OWNER)
(507) 363-5552
Entity
Organization
Contact information
Practice address
770 25TH ST NE, OWATONNA, MN 55060-2482
(507) 363-5552
(507) 363-5552
Mailing address
770 25TH ST NE, OWATONNA, MN 55060-2482
(507) 363-5552
(507) 363-5552
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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