Organization
RIDGEVIEW MEDICAL CENTER
Active
Parent organization
RIDGEVIEW MEDICAL CENTER
Other names
Ridgeview Clinics
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIDGEVIEW MEDICAL CENTER
Authorized official
MR. MICHAEL PHELPS (CEO)
(952) 442-2191
Entity
Organization
Contact information
Practice address
500 S MAPLE ST, WACONIA, MN 55387-1752
(952) 442-2191
(952) 442-8052
Mailing address
500 S MAPLE ST, WACONIA, MN 55387-1752
(952) 442-2191
(952) 442-8052
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
48355
MN
Other
Enumeration date
01/31/2008
Last updated
12/08/2023
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