Healthcare Provider Details

I. General information

NPI: 1588669840
Provider Name (Legal Business Name): AMERICAN ANESTHESIOLOGY OF MINNESOTA, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2005
Last Update Date: 01/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E 28TH ST
MINNEAPOLIS MN
55407-3723
US

IV. Provider business mailing address

1500 CONCORD TER 4TH FLOOR
SUNRISE FL
33323-2815
US

V. Phone/Fax

Practice location:
  • Phone: 612-863-4000
  • Fax:
Mailing address:
  • Phone: 800-243-3839
  • Fax: 844-636-1410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: CURTIS B. PICKERT
Title or Position: PRESIDENT
Credential: M.D
Phone: 800-243-3839