Organization Name:  SUMMIT ORTHOPEDICS LTD


Practice Location:
7115 TAMARACK RD STE 200  WOODBURY, MN 55125 US
Tel: 651-968-5468  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	261QA1903X	Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical	MN	375355

Other Provider Identifiers:

Issuer	Number	State	Type
BLUE CROSS BLUE SHIELD	8A11LA	MN	01
	020718700	MN	05
MEDICA	6801127	MN	01
HEALTHPARTNERS	44038	MN	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin