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Organization

ORTHOPEDIC ANESTHESIA CONSULTANTS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANTANU SRINIVASAN MD (OWNER)
(786) 390-1506
Entity
Organization

Contact information

Practice address
985 GOETHALS DR, RICHLAND, WA 99352-3527
(786) 390-1506
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3630

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
09/14/2007
Last updated
04/29/2008
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