Northern Lakes Surgery Center LLC

NPI #1942914049 in Moose Lake, Minnesota

Provider Information

NPI Number: 1942914049
Entity Type: Organization
Organization Name: Northern Lakes Surgery Center LLC
Primary Specialty: Anesthesiology
Enumeration Date: Jan 12, 2023
Last Updated: Dec 19, 2024

Practice Location

Address: 4791 COUNTY ROAD 10
City: Moose Lake
State: Minnesota
ZIP Code: 55767-9221
Phone: (218) 249-5555

Authorized Official

Name: CHRIS JOHNSON
Title: PRESIDENT
Phone: (218) 249-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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Individual Providers

Provider Name	Specialty	City
DR. David Alan Griver, MD	Anesthesiology	Saint Paul	AI Deep Dive
Bruce W Keppen, M.D.	Anesthesiology	Willmar	AI Deep Dive
James Gregory, MD	Anesthesiology	Duluth	AI Deep Dive
Richard E Belmont JR., D.O.	Anesthesiology	Saint Cloud	AI Deep Dive

Organizations

Provider Name	Specialty	City
American Anesthesiology of Minnesota, P.a.	Anesthesiology	Minneapolis	AI Deep Dive

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