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Organization

MIDWEST MED MANAGEMENT, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANETA M BIZEK (PRACTICE ADMINISTRATOR)
(612) 987-0775
Entity
Organization

Contact information

Practice address
1935 COUNTY ROAD B2 W, STE 165, ROSEVILLE, MN 55113-2729
(651) 330-4904
(651) 330-4954
Mailing address
1935 COUNTY ROAD B2 W, STE 165, ROSEVILLE, MN 55113-2729
(651) 330-4904
(651) 330-4954

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
49158
MN

Other

Enumeration date
11/13/2013
Last updated
11/13/2013
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