| Ridgeview Chanhassen Clinic/western Orthopaedics & Sports Medicine Con | |
|
7907 Powers Blvd Chanhassen MN 55317-9502 | |
| (952) 934-0570 | |
| (952) 906-7837 |
| Full Name | Ridgeview Chanhassen Clinic/western Orthopaedics & Sports Medicine Con |
|---|---|
| Speciality | Family Medicine |
| Location | 7907 Powers Blvd, Chanhassen, Minnesota |
| Authorized Official Name and Position | Kristi L Besse (OPERATIONS MGR) |
| Authorized Official Contact | 9524952000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridgeview Chanhassen Clinic/western Orthopaedics & Sports Medicine Con 7907 Powers Blvd Chanhassen MN 55317-9502 Ph: (952) 934-0570 | Ridgeview Chanhassen Clinic/western Orthopaedics & Sports Medicine Con 7907 Powers Blvd Chanhassen MN 55317-9502 Ph: (952) 934-0570 |
| NPI Number | 1205988714 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 06/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205988714 | NPI | - | NPPES |
| 073513200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25217 (Minnesota) | Primary |
| 207X00000X | Orthopaedic Surgery | 40131 (Minnesota) | Secondary |
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