Independent Professionals PC

NPI #1710133566 in Wayzata, Minnesota

Provider Information

NPI Number
1710133566
Entity Type
Organization
Organization Name
Independent Professionals PC
Primary Specialty
Anesthesiology
Enumeration Date
Aug 12, 2008
Last Updated
Aug 12, 2008

Practice Location

Address
319 BARRY AVE S
Address 2
SUITE 300
ZIP Code
55391-1658
Phone
(952) 473-1111

Authorized Official

Name
DR. DAVID H LANE, M.D.
Title
PRESIDENT
Phone
(952) 401-6200

Specialties & Taxonomy Codes

Specialty
Anesthesiology

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