Organization
SHERIDAN ANESTHESIA SERVICES OF MINNESOTA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 751-5430
Mailing address
PO BOX 452406, SUNRISE, FL 33345-2406
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
03/01/2013
Last updated
09/18/2019
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