Organization
RIDGEVIEW CLINICS
Active
Other names
Ridgeview Excelsior Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTI BESSE (OPERATIONS MANAGER)
(952) 442-7890
Entity
Organization
Contact information
Practice address
675 WATER ST, EXCELSIOR, MN 55331-3063
(952) 906-7855
(952) 470-4523
Mailing address
675 WATER ST, EXCELSIOR, MN 55331-3063
(952) 906-7855
(952) 470-4523
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25217
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
769424500
—
MN
Enumeration date
01/17/2007
Last updated
06/24/2009
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