Organization
RIDGEVIEW CLINICS
Active
Other names
Western Orthopaedics & Sports Medicine Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI BESSE (OPERATIONS & BUSINESS OFFICE MANAGE)
(952) 442-7890
Entity
Organization
Contact information
Practice address
611 E FAIRVIEW ST, OLIVIA, MN 56277-4213
(320) 523-1261
Mailing address
611 E FAIRVIEW ST, OLIVIA, MN 56277-4213
(320) 523-1261
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
19168
MN
363A00000X
Physician Assistant
9792
MN
Other
Enumeration date
06/19/2007
Last updated
08/20/2007
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