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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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