| Ridgeview Specialty Clinic | |
|
560 South Maple Street Suite 220 Waconia MN 55387-0000 | |
| (952) 442-8011 | |
| Not Available |
| Full Name | Ridgeview Specialty Clinic |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 560 South Maple Street, Waconia, Minnesota |
| Authorized Official Name and Position | Kristi Besse (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 9524427895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridgeview Specialty Clinic 560 South Maple Street Suite 220 Waconia MN 55387-0000 Ph: (952) 442-8011 | Ridgeview Specialty Clinic 560 South Maple Street Suite 220 Waconia MN 55387-0000 Ph: (952) 442-8011 |
| NPI Number | 1710147392 |
|---|---|
| Provider Enumeration Date | 06/17/2008 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710147392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 43187 (Minnesota) | Primary |
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