Organization
HIAWATHA SURGERY CENTER LLC
Active
Other names
Greenway Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
AMISTYENE BRINCEFIELD (ADMINISTRATOR)
(612) 728-2668
Entity
Organization
Contact information
Practice address
2020 E 28TH ST STE 100, MINNEAPOLIS, MN 55407-1453
(612) 728-7000
(612) 728-2660
Mailing address
9205 WOODLAND DR, MINNETRISTA, MN 55375-4516
(763) 464-1611
(612) 728-2660
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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