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Minnesota Gynecology And Aesthetics, Pa
Medical Specialty Clinic/Center in Wayzata, Minnesota
NPI 1831478940

Minnesota Gynecology And Aesthetics, Pa is a Medical Specialty Clinic/Center based in Wayzata, MN and is specialized in Medical Specialty. Minnesota Gynecology And Aesthetics, Pa practices in Wayzata, MN. The NPI Number for Minnesota Gynecology And Aesthetics, Pa is 1831478940 and holds a License No. 33512 (Minnesota).

The current practice location address for Minnesota Gynecology And Aesthetics, Pa is 1421 East Wayzata Blvd, Wayzata, MN and can be reached out via phone at 952-473-6642 and via fax at 952-473-2312.

Location: 1421 East Wayzata Blvd, Wayzata, MN, 55391-1939
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831478940
Provider Name
Minnesota Gynecology And Aesthetics, Pa
Credential
Provider Entity Type
Organization
Address
1421 East Wayzata Blvd, Wayzata, MN, 55391-1939
Phone Number
952-473-6642
Fax Number
952-473-2312
Provider Enumeration Date
08/05/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
615323200 05 MN
institution
Provider Business Practice Location Address Details
Address
1421 East Wayzata Blvd
City
Wayzata
State
Minnesota
Zip
55391-1939
Phone Number
952-473-6642
Fax Number
952-473-2312
person
Provider Business Mailing Address Details
Address
1421 East Wayzata Blvd
City
Wayzata
State
Minnesota
Zip
55391-1939
Phone Number
952-473-6642
Fax Number
952-473-2312
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
33512 (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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