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Blaine Asc, Llc
Ambulatory Surgical Clinic/Center in Blaine, Minnesota
NPI 1922526961

Blaine Asc, Llc is an Ambulatory Surgical Clinic/Center based in Bloomington, MN and is specialized in Ambulatory Surgical. Blaine Asc, Llc practices in Blaine, MN. The NPI Number for Blaine Asc, Llc is 1922526961 and holds a License No. (Minnesota).

The current practice location address for Blaine Asc, Llc is 11225 Ulysses Street Northeast, Blaine, MN and can be reached out via phone at 952-847-4089.

Location: 11225 Ulysses Street Northeast, Blaine, MN, 55431-4442
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922526961
Provider Name
Blaine Asc, Llc
Credential
Provider Entity Type
Organization
Address
11225 Ulysses Street Northeast, Blaine, MN, 55431-4442
Phone Number
952-847-4089
Fax Number
Provider Enumeration Date
08/30/2017
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
11225 Ulysses Street Northeast
City
Blaine
State
Minnesota
Zip
55434
Phone Number
952-847-4089
Fax Number
person
Provider Business Mailing Address Details
Address
11225 Ulysses Street Northeast
City
Blaine
State
Minnesota
Zip
55434
Phone Number
952-847-4089
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
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Definition
Definition to come...
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