Organization
ALLINA HEALTH SURGERY CENTER- BROOKLYN PARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA TESKE (LICENSURE ENROLLMENT MANAGER)
(205) 263-2559
Entity
Organization
Contact information
Practice address
6001 96TH LANE N, STE 200, BROOKLYN PARK, MN 55443
(205) 263-2559
Mailing address
6001 96TH LN N STE 200, MINNEAPOLIS, MN 55445-4602
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
10/26/2022
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