Organization
NORTHWEST ANESTHESIA, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD SKOOG M.D. (PRESIDENT)
(612) 871-7639
Entity
Organization
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407
(612) 863-4000
Mailing address
2828 CHICAGO AVE, 300, MINNEAPOLIS, MN 55407-1544
(612) 871-7639
(612) 872-0302
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
CRNA 1829
MN
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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