| Ridgeview Excelsior Clinic | |
|
675 Water St Excelsior MN 55331-3063 | |
| (952) 906-7855 | |
| (952) 470-4523 |
| Full Name | Ridgeview Excelsior Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 675 Water St, Excelsior, Minnesota |
| Authorized Official Name and Position | Kristi Besse (OPERATIONS MANAGER) |
| Authorized Official Contact | 9524427890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridgeview Excelsior Clinic 675 Water St Excelsior MN 55331-3063 Ph: (952) 906-7855 | Ridgeview Excelsior Clinic 675 Water St Excelsior MN 55331-3063 Ph: (952) 906-7855 |
| NPI Number | 1558413062 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 06/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558413062 | NPI | - | NPPES |
| 769424500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25217 (Minnesota) | Primary |
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