Healthcare Provider Details

I. General information

NPI: 1073621850
Provider Name (Legal Business Name): REGIONAL ANESTHESIA SERVICES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13911 RIDGEDALE DR SUITE 350
MINNETONKA MN
55305-1771
US

IV. Provider business mailing address

13911 RIDGEDALE DR SUITE 350
MINNETONKA MN
55305-1771
US

V. Phone/Fax

Practice location:
  • Phone: 952-932-9012
  • Fax: 952-932-7122
Mailing address:
  • Phone: 952-932-9012
  • Fax: 952-932-7122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: THOMAS K YUE
Title or Position: PRESIDENT
Credential: MD
Phone: 952-932-0998