Organization
SOUTH METROPOLITAN ANESTHESIA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL D SCHWICHTENBERG CRNA (CEO)
(612) 387-1219
Entity
Organization
Contact information
Practice address
201 E NICOLLET BLVD, BURNSVILLE, MN 55337
(888) 209-0305
(952) 442-3620
Mailing address
400 10TH ST E, WACONIA, MN 55387-4552
(888) 209-0305
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/14/2005
Last updated
08/09/2019
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