Organization
LEGACY ANESTHESIA SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN STEVEN ANDERSON CRNA (CHIEF MANAGER)
(612) 735-1469
Entity
Organization
Contact information
Practice address
1575 20TH ST NW, SUITE 203, FARIBAULT, MN 55021
(612) 735-1469
Mailing address
1575 20TH ST NW, SUITE 203, FARIBAULT, MN 55021
(612) 735-1469
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
MN
Other
Enumeration date
02/21/2007
Last updated
08/22/2020
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