institution
Ophthalmic Plastic And Reconstructive Surgery, P.a.
Specialist in Minneapolis, Minnesota
NPI 1386716157

Ophthalmic Plastic And Reconstructive Surgery, P.a. is a Specialist based in Minneapolis, MN. Ophthalmic Plastic And Reconstructive Surgery, P.a. practices in Minneapolis, MN. The NPI Number for Ophthalmic Plastic And Reconstructive Surgery, P.a. is 1386716157 and holds a License No. 799 (Minnesota).

The current practice location address for Ophthalmic Plastic And Reconstructive Surgery, P.a. is 4887 E Lake Harriet Blvd, Minneapolis, MN and can be reached out via phone at 612-325-0317.

Location: 4887 E Lake Harriet Blvd, Minneapolis, MN, 55419-5222
institution
Provider Profile Details
NPI Number
1386716157
Provider Name
Ophthalmic Plastic And Reconstructive Surgery, P.a.
Credential
Provider Entity Type
Organization
Address
4887 E Lake Harriet Blvd, Minneapolis, MN, 55419-5222
Phone Number
612-325-0317
Fax Number
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
122169D805 01 MN UCARE MINNESOTA
7787270 05 SD
95322 01 MN HEALTH PARTNERS
16176 05 ND
0802163 01 MN MEDICA
26128OP 01 MN BLUE CROSS BLUE SHIELD MN
031010700 05 MN
31260500 05 WI
institution
Provider Business Practice Location Address Details
Address
4887 E Lake Harriet Blvd
City
State
Zip
55419-5222
Phone Number
612-325-0317
Fax Number
person
Provider Business Mailing Address Details
Address
4887 E Lake Harriet Blvd
City
State
Zip
55419-5222
Phone Number
612-325-0317
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
799 (Minnesota)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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