Organization
RIDGEVIEW CLINICS
Active
Other names
Ridgeview Westonka Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI BESSE (OPERATIONS MANAGER)
(952) 442-7890
Entity
Organization
Contact information
Practice address
4695 SHORELINE DR, SPRING PARK, MN 55384-9715
(952) 442-7890
(952) 442-7892
Mailing address
4695 SHORELINE DR, SPRING PARK, MN 55384-9715
(952) 442-7890
(952) 442-7892
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25217
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
672605400
—
MN
Enumeration date
01/17/2007
Last updated
06/24/2009
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