Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ridgeview Medical Center

Organization Family Medicine Physician · NPI 1811174923

Ridgeview Medical Center provides Family Medicine Physician services in Waconia, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008
Specialties on file
2

Practice location Address checks out

500 S Maple St
Waconia, MN 55387-1752
Phone: (952) 442-2191
Fax: (952) 442-8052
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 48355 (MN)
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1811174923
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRidgeview Medical Center
Authorized official Michael Phelps — Ceo · (952) 442-2191
Other names Ridgeview Clinics; Ridgeview Clinics
NPI enumeratedJanuary 31, 2008
Last updated in NPPESDecember 8, 2023
Certification dateDecember 8, 2023
Mailing address500 S Maple St, Waconia, MN 55387-1752

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