Organization
RIDGEVIEW CLINICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTI A BESSE (BUSINESS OFFICE MANAGER)
(952) 442-7895
Entity
Organization
Contact information
Practice address
490 S MAPLE ST, SUITE 204, WACONIA, MN 55387-1760
(952) 442-2191
Mailing address
490 S MAPLE ST, SUITE 204, WACONIA, MN 55387-1760
(952) 442-2191
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
22924
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659389310
—
MN
Enumeration date
04/08/2009
Last updated
04/08/2009
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