Minnesota Orthopaedic Surgery Center, LLC

NPI #1972553741 in Fridley, Minnesota

Provider Information

NPI Number: 1972553741
Entity Type: Organization
Organization Name: Minnesota Orthopaedic Surgery Center, LLC
Primary Specialty: Clinic/Center - Ambulatory Surgical
Enumeration Date: May 11, 2006
Last Updated: Aug 3, 2016

Practice Location

Address: 8290 UNIVERSITY AVE NE
Address 2: SUITE 100
City: Fridley
State: Minnesota
ZIP Code: 55432-1847
Phone: (763) 786-0461

Authorized Official

Name: DR. PETER D HOLMBERG, M.D.
Title: PRESIDENT
Phone: (763) 786-9543

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Clinic/Center - Ambulatory Surgical — Ambulatory Surgical	261QA1903X	Primary

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