Organization
RIDGEVIEW MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J PHELPS (VP)
(952) 442-2191
Entity
Organization
Contact information
Practice address
111 HUNDERTMARK RD, CHASKA, MN 55318-4551
(952) 361-2450
(952) 361-2461
Mailing address
111 HUNDERTMARK RD, CHASKA, MN 55318-4551
(952) 361-2450
(952) 361-2461
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
04/20/2022
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