Organization
WORTHINGTON ANESTHESIA SERVICES, INC.
Active
Organization
WORTHINGTON ANESTHESIA SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG BERGH CRNA (OWNER)
(507) 372-3292
Entity
Organization
Contact information
Practice address
1018 6TH AVE, WORTHINGTON, MN 56187-2202
(507) 372-3292
(507) 372-3254
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3630
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0949784
—
IA
05
—
210989100
—
MN
01
—
21561
HEALTHPARTNERS
MN
01
—
61423WO
BLUE CROSS OF MN
MN
Enumeration date
04/19/2006
Last updated
04/29/2008
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