Organization
MNGI ENDOSCOPY ASC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT KETOVER MD (PRESIDENT)
(612) 871-1145
Entity
Organization
Contact information
Practice address
3001 BROADWAY ST NE STE 500, MINNEAPOLIS, MN 55413
(612) 871-1145
(612) 870-5491
Mailing address
PO BOX 14909, MINNEAPOLIS, MN 55414-0909
(612) 871-1145
(612) 870-5491
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PENDING
MN
Other
Enumeration date
07/27/2006
Last updated
04/02/2024
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