Organization
BLAINE ASC, LLC
Active
Other names
Blaine Orthopedic Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS ZEIGLER (VICE PRESIDENT)
(952) 456-7436
Entity
Organization
Contact information
Practice address
11225 ULYSSES STREET NORTHEAST, BLAINE, MN 55434
(952) 847-4089
Mailing address
3500 AMERICAN BLVD W STE 300, BLOOMINGTON, MN 55431-4442
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/30/2017
Last updated
04/26/2024
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