Blaine Mn Multi Specialty Asc LLC

NPI #1760616031 in Blaine, Minnesota

Provider Information

NPI Number
1760616031
Entity Type
Organization
Organization Name
Blaine Mn Multi Specialty Asc LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
May 14, 2009
Last Updated
May 11, 2022

Practice Location

Address
11855 ULYSSES ST NE
Address 2
SUITE 270
City
Blaine
ZIP Code
55434-3947
Phone
(763) 755-6540

Authorized Official

Name
JEFFREY E. SNODGRASS
Title
PRESIDENT
Phone
(615) 665-1283

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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