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Organization

RIDGEVIEW CLINICS

Active
Other names
Ridgeview Howard Lake Clinic/Western Orthopaedics & Sports Medicine Co
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KRISTI BESSE (OPERATIONS MANAGER)
(952) 442-7890
Entity
Organization

Contact information

Practice address
900 6TH ST, HOWARD LAKE, MN 55349-5647
(320) 543-2591
(320) 543-2693
Mailing address
PO BOX 1007, HOWARD LAKE, MN 55349-1007
(320) 543-2591
(320) 543-2693

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25217
MN
207X00000X
Orthopaedic Surgery Physician
19168
MN
363AM0700X
Medical Physician Assistant
9792
MN

Other

Enumeration date
01/17/2007
Last updated
11/05/2007
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