| NPI | 1558413062 |
|---|---|
| Doing Business As | RIDGEVIEW EXCELSIOR CLINIC |
| Entity Type | Organization |
| Authorized Contact | KRISTI BESSE Operations Manager 952-442-7890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 25217) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2009-06-24 |