Organization
TWIN ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW PAUL DICKMAN CRNA, APRN (CEO, CO-OWNER)
(715) 410-8742
Entity
Organization
Contact information
Practice address
2622 132ND AVE NE, BLAINE, MN 55449-0047
(715) 410-8742
Mailing address
2622 132ND AVE NE, BLAINE, MN 55449-0047
(715) 410-8742
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407375967
—
MN
05
—
1831618859
—
MN
Enumeration date
07/26/2021
Last updated
07/26/2021
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