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Woodbury Plastic Surgery Pa
Medical Specialty Clinic/Center in Woodbury, Minnesota
NPI 1225151418

Woodbury Plastic Surgery Pa is a Medical Specialty Clinic/Center based in Woodbury, MN and is specialized in Medical Specialty. Woodbury Plastic Surgery Pa practices in Woodbury, MN. The NPI Number for Woodbury Plastic Surgery Pa is 1225151418 and holds a License No. 47379 (Minnesota).

The current practice location address for Woodbury Plastic Surgery Pa is 604 Bielenberg Dr, Woodbury, MN and can be reached out via phone at 651-730-4100 and via fax at 651-730-4107.

Location: 604 Bielenberg Dr, Woodbury, MN, 55125-1414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225151418
Provider Name
Woodbury Plastic Surgery Pa
Credential
Provider Entity Type
Organization
Address
604 Bielenberg Dr, Woodbury, MN, 55125-1414
Phone Number
651-730-4100
Fax Number
651-730-4107
Provider Enumeration Date
04/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
430093900 05 MN
institution
Provider Business Practice Location Address Details
Address
604 Bielenberg Dr
City
Woodbury
State
Minnesota
Zip
55125-1414
Phone Number
651-730-4100
Fax Number
651-730-4107
person
Provider Business Mailing Address Details
Address
604 Bielenberg Dr
City
Woodbury
State
Minnesota
Zip
55125-1414
Phone Number
651-730-4100
Fax Number
651-730-4107
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
47379 (Minnesota)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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