Blaine Mn Multi Specialty Asc LLC
Clinic/Center, Ambulatory Surgical in Blaine, MN. Organization (NPI-2).
NPI number1760616031
StatusActive
Last updated in NPPESMay 11, 2022
Details
- NPI
- 1760616031
- Entity type
- Organization (NPI-2)
- Legal business name
- Blaine Mn Multi Specialty Asc LLC
- Organization subpart
- No
- Enumeration date
- May 14, 2009
- Certification date
- May 11, 2022
- Last updated
- May 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | MN | Yes |
Other names
- North Metro Surgery Center (Doing Business As)
Practice location
11855 Ulysses St NeSuite 270
Blaine, MN 55434-3947
Phone 763-755-6540
Mailing address
1a Burton Hills BlvdNashville, TN 37215-6187
Phone 615-665-1283
Authorized official
Jeffrey E. Snodgrass
President
6156651283
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