Organization
RIDGEVIEW CLINICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT STEVENS (CEO)
(952) 442-2191
Entity
Organization
Contact information
Practice address
4695 SHORELINE DR, SPRING PARK, MN 55384-9715
(952) 442-7890
(952) 442-7897
Mailing address
4695 SHORELINE DR, SPRING PARK, MN 55384-9715
(952) 442-7890
(952) 442-7897
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25217
MN
Other
Enumeration date
08/04/2006
Last updated
08/22/2020
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