Organization
RIDGEVIEW CLINICS
Active
Other names
Minnesota Otolaryngology
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI BESSE (BUSINESS OFFICE MANAGER)
(952) 442-7895
Entity
Organization
Contact information
Practice address
560 S MAPLE ST, SUITE 40, WACONIA, MN 55387-1733
(952) 925-5626
(952) 925-0223
Mailing address
560 S MAPLE ST, SUITE 40, WACONIA, MN 55387-1733
(952) 925-5626
(952) 925-0223
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25217
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093605000
—
MN
Enumeration date
01/17/2007
Last updated
11/10/2008
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