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Aesthetic-reconstructive Plastic Surgery, Ltd
Specialist in Fridley, Minnesota
NPI 1801080353

Aesthetic-reconstructive Plastic Surgery, Ltd is a Specialist based in Fridley, MN. Aesthetic-reconstructive Plastic Surgery, Ltd practices in Fridley, MN. The NPI Number for Aesthetic-reconstructive Plastic Surgery, Ltd is 1801080353 and holds a License No. 24664 (Minnesota).

The current practice location address for Aesthetic-reconstructive Plastic Surgery, Ltd is 500 Osborne Rd Ne, Fridley, MN and can be reached out via phone at 763-780-8927.

Location: 500 Osborne Rd Ne, Fridley, MN, 55432-2765
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801080353
Provider Name
Aesthetic-reconstructive Plastic Surgery, Ltd
Credential
Provider Entity Type
Organization
Address
500 Osborne Rd Ne, Fridley, MN, 55432-2765
Phone Number
763-780-8927
Fax Number
Provider Enumeration Date
08/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C00776 01 MN MEDICARE GROUP ID
03507AE 01 MN BCBS ID
institution
Provider Business Practice Location Address Details
Address
500 Osborne Rd Ne
City
Fridley
State
Minnesota
Zip
55432-2765
Phone Number
763-780-8927
Fax Number
person
Provider Business Mailing Address Details
Address
500 Osborne Rd Ne
City
Fridley
State
Minnesota
Zip
55432-2765
Phone Number
763-780-8927
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
24664 (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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