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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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