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Blaine Mn Multi Specialty Asc Llc
Ambulatory Surgical Clinic/Center in Blaine, Minnesota
NPI 1760616031

Blaine Mn Multi Specialty Asc Llc is an Ambulatory Surgical Clinic/Center based in Nashville, MN and is specialized in Ambulatory Surgical. Blaine Mn Multi Specialty Asc Llc practices in Blaine, MN. The NPI Number for Blaine Mn Multi Specialty Asc Llc is 1760616031 and holds a License No. (Minnesota).

The current practice location address for Blaine Mn Multi Specialty Asc Llc is 11855 Ulysses St Ne, Blaine, MN and can be reached out via phone at 763-755-6540.

Location: 11855 Ulysses St Ne, Blaine, MN, 37215-6187
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760616031
Provider Name
Blaine Mn Multi Specialty Asc Llc
Credential
Provider Entity Type
Organization
Address
11855 Ulysses St Ne, Blaine, MN, 37215-6187
Phone Number
763-755-6540
Fax Number
Provider Enumeration Date
05/14/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00825924 01 MN RAILROAD
institution
Provider Business Practice Location Address Details
Address
11855 Ulysses St Ne
City
Blaine
State
Minnesota
Zip
55434-3947
Phone Number
763-755-6540
Fax Number
person
Provider Business Mailing Address Details
Address
11855 Ulysses St Ne
City
Blaine
State
Minnesota
Zip
55434-3947
Phone Number
763-755-6540
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
(Minnesota)
Definition
Definition to come...
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