Organization
MIDWEST SURGERY CENTER, LLC
Active
Other names
Midwest Surgery Center- Woodbury
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VANESSA J TOSSEY (CHIEF ADMINISTRATIVE OFFICER)
(651) 642-9199
Entity
Organization
Contact information
Practice address
2080 WOODWINDS DR, WOODBURY, MN 55125-2523
(651) 642-1106
(651) 642-9837
Mailing address
2080 WOODWINDS DR, WOODBURY, MN 55125-2523
(651) 642-1106
(651) 642-9837
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0T542MI
BLUE CROSS BLUE SHIELD OF MN
MN
01
—
108281
UCARE
MN
01
—
416712100
MEDICAL ASSISTANCE
MN
01
—
62804MI
BCBS CRNA
MN
Enumeration date
12/15/2006
Last updated
08/25/2023
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