Individual
RANDY L VINDEDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1575 BEAM AVE, MAPLEWOOD, MN 55109-1126
(651) 735-0501
(651) 251-8050
Mailing address
648 POND VIEW TER, MENDOTA HEIGHTS, MN 55120-1929
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0779315
MN
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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