Organization
ANESTHESIA ASSOCIATES OF ST. CLOUD, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE ZOELLER (ADMINISTRATOR)
(320) 258-3090
Entity
Organization
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 258-3090
Mailing address
3701 12TH ST N, SUITE 202, SAINT CLOUD, MN 56303-2255
(320) 258-3090
(320) 258-3095
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
313
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
977208100
—
MN
Enumeration date
11/09/2005
Last updated
08/08/2011
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