NPI | 1336465038 |
---|---|
Doing Business As | ST. JOSEPH'S MEDICAL CENTER ANESTHESIA ASSOCIATES |
Entity Type | Organization |
Authorized Contact | KEVIN BOREN VP Of Finance 218-786-1009 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 347060) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 347060) |
Enumeration Date | 2010-04-20 |
Last Update Date | 2024-02-26 |