Organization
MIDWEST SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
H. JOSEPH DRANNEN (EXECUTIVE DIRECTOR)
(651) 714-6904
Entity
Organization
Contact information
Practice address
2080 WOODWINDS DR, SUITE 110, WOODBURY, MN 55125-2523
(651) 642-1106
Mailing address
2080 WOODBURY DRIVE, SUITE 110, WOODBURY, MN 55125
(651) 642-1106
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
HE-01084-04
MN
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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