Organization
INSPIRED SPINE SURGCENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYA C LYDEEN (SVP/PRACTICE ADMINISTRATOR)
(952) 832-5252
Entity
Organization
Contact information
Practice address
7400 FRANCE AVE S, EDINA, MN 55435-4738
(952) 405-9870
Mailing address
1601 HIGHWAY 13 E STE 211, BURNSVILLE, MN 55337-5105
(952) 405-9760
(855) 430-6952
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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