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

Mankato Surgical Center, LLC

Organization Anesthesiology Physician · NPI 1720161615

Mankato Surgical Center, LLC is an Anesthesiology Physician in Mankato, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1411 Premiere Dr
Mankato, MN 56001
Phone: (507) 388-6000
Fax: (507) 388-6913
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 331023 (MN)
Anesthesiology Physician Taxonomy 207L00000X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1720161615
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sara Ebert — Controller/Business Office Manager · (507) 388-6000
Other names Mankato Surgery Center; Mankato Surgery Center
NPI enumeratedOctober 23, 2006
Last updated in NPPESMarch 18, 2022
Certification dateMarch 18, 2022
Mailing address1411 Premiere Dr, Mankato, MN 56001-6076

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