Organization
RIDGEVIEW CLINICS
Active
Other names
Ridgeview Specialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTI BESSE (OPERATIONS MANAGER)
(952) 442-7890
Entity
Organization
Contact information
Practice address
490 S MAPLE ST, SUITE 216, WACONIA, MN 55387-1760
(952) 442-2191
(952) 442-8019
Mailing address
4695 SHORELINE DR, SPRING PARK, MN 55384-9715
(952) 442-7895
(952) 442-7894
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
22924
MN
207RP1001X
Pulmonary Disease Physician
Primary
49463
MN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
49463
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49463
RAVI LICENSE NO.
MN
Enumeration date
05/25/2007
Last updated
08/17/2007
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