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Organization

NORTHWEST ANESTHESIA P.A.

Active
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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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