Organization
TIMBERWOLF ANESTHESIA SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ERLANDSON CRNA (OWNER)
(612) 839-4551
Entity
Organization
Contact information
Practice address
14054 BANK ST, BECKER, MN 55308-8865
(763) 260-8808
Mailing address
502 S GLEN TRL, LINO LAKES, MN 55014-5497
(612) 839-4551
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 108481-8
MN
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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