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NPI Code Detail

MEDICARE: TRIA ORTHOPAEDIC CENTER LLC

MEDICARE: TRIA ORTHOPAEDIC CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center328557MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053314013
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRIA ORTHOPAEDIC CENTER LLC
Provider Business Mailing Address
First Line : 8100 NORTHLAND DR
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55431-4800
Country : US
Telephone Number : 952-831-8742
Fax Number : 952-831-1626
Provider Business Practice Location Address
First Line : 8100 NORTHLAND DR
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55431-4800
Country : US
Telephone Number : 952-831-8742
Fax Number : 952-831-1626
Authorized Official
Title or Position : VP FINANCE
Name : JASON J LUHRS
Credential :
Telephone Number : 952-883-7158
Provider Enumeration Date : 05/24/2005
Last Update Date : 10/25/2021

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Directions to “TRIA ORTHOPAEDIC CENTER LLC ” Practice Location

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