| Ridgeview Clinics | |
|
500 S Maple St Waconia MN 55387-1752 | |
| (952) 442-2191 | |
| (952) 442-8052 |
| Full Name | Ridgeview Clinics |
|---|---|
| Speciality | Radiology - Diagnostic Radiology |
| Location | 500 S Maple St, Waconia, Minnesota |
| Authorized Official Name and Position | Michael Phelps (CEO) |
| Authorized Official Contact | 9524422191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridgeview Clinics 500 S Maple St Waconia MN 55387-1752 Ph: (952) 442-2191 | Ridgeview Clinics 500 S Maple St Waconia MN 55387-1752 Ph: (952) 442-2191 |
| NPI Number | 1811174923 |
|---|---|
| Provider Enumeration Date | 01/31/2008 |
| Last Update Date | 12/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811174923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 48355 (Minnesota) | Primary |
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