Organization
TIMBERWOLF ANESTHESIA SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ERLANDSON APRN, CRNA (PRESIDENT)
(612) 839-4551
Entity
Organization
Contact information
Practice address
502 S GLEN TRL, LINO LAKES, MN 55014-5497
(612) 839-4551
Mailing address
PO BOX 100, 14054 BANK ST, BECKER, MN 55308-0100
(763) 260-8808
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
MN
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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