Organization
RIDGEVIEW CLINICS
Active
Other names
Childrens West
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTI BESSE (BUSINESS OFFICE MGR)
(952) 442-7895
Entity
Organization
Contact information
Practice address
6060 CLEARWATER DR, MINNETONKA, MN 55343-9442
(952) 442-7895
Mailing address
4695 SHORELINE DR, SPRING PARK, MN 55384-9715
(952) 442-7895
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
19743
MN
Other
Enumeration date
11/06/2008
Last updated
11/10/2008
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