Organization
HUTCHINSON AREA HC ANESTHESIA
Active
Organization
HUTCHINSON AREA HC ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL GRAVES (PRESIDENT)
(952) 442-9770
Entity
Organization
Contact information
Practice address
1095 HIGHWAY 15 S, HUTCHINSON, MN 55350-5000
(320) 234-4603
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128183
CHOICEPLUS
MN
01
—
60163HU
BLUE CROSS OF MN
MN
01
—
C02993
MEDICARE GROUP
MN
Enumeration date
07/06/2006
Last updated
04/20/2008
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