Organization
WESTWOOD PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNE G BEITO (MANAGER)
(952) 955-1399
Entity
Organization
Contact information
Practice address
209 JEFFERSON AVE SW, WATERTOWN, MN 55388
(952) 955-1399
(952) 955-1398
Mailing address
209 JEFFERSON AVE SW, WATERTOWN, MN 55388
(952) 955-1399
(952) 955-1398
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
332948
MN
Other
Enumeration date
09/29/2006
Last updated
08/22/2020
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