Organization
NORTHWEST ANESTHESIA P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINETTE K ANDERSON (CREDENTIALING COORDINATOR)
(612) 871-7639
Entity
Organization
Contact information
Practice address
2828 CHICAGO AVE, SUITE 300, MINNEAPOLIS, MN 55407-1544
(612) 871-7639
(912) 872-0302
Mailing address
2828 CHICAGO AVE, SUITE 300, MINNEAPOLIS, MN 55407-1544
(612) 871-7639
(912) 872-0302
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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