Organization
RIDGEVIEW CLINICS
Active
Other names
Ridgeview Specialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTI BESSE (BUSINESS OFFICE MANAGER)
(952) 442-7895
Entity
Organization
Contact information
Practice address
560 SOUTH MAPLE STREET, SUITE 220, WACONIA, MN 55387-0000
(952) 442-8011
Mailing address
560 SOUTH MAPLE STREET, SUITE 220, WACONIA, MN 55387-0000
(952) 442-8011
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
43187
MN
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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