institution
Aesthetic And Plastic Surgery, Pa
Plastic and Reconstructive Surgery Physician in Coon Rapids, Minnesota
NPI 1871704338

Aesthetic And Plastic Surgery, Pa is a Plastic and Reconstructive Surgery Physician based in Coon Rapids, MN and is specialized in Plastic and Reconstructive Surgery. Aesthetic And Plastic Surgery, Pa practices in Coon Rapids, MN. The NPI Number for Aesthetic And Plastic Surgery, Pa is 1871704338 and holds a License No. 1585 (Minnesota).

The current practice location address for Aesthetic And Plastic Surgery, Pa is 11850 Blackfoot St Nw Ste 130, Coon Rapids, MN and can be reached out via phone at 763-236-1900 and via fax at 763-236-9010. You can also correspond with Aesthetic And Plastic Surgery, Pa through the mailing address at 11850 BLACKFOOT ST NW STE 130, COON RAPIDS, MN - 55433-2583 (mailing address contact number: 763-236-1900).

Location: 11850 Blackfoot St Nw Ste 130, Coon Rapids, MN, 55433-2583
institution
Provider Profile Details
NPI Number
1871704338
Provider Name
Aesthetic And Plastic Surgery, Pa
Credential
Provider Entity Type
Organization
Address
11850 Blackfoot St Nw Ste 130, Coon Rapids, MN, 55433-2583
Phone Number
763-236-1900
Fax Number
763-236-9010
Provider Enumeration Date
05/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
92321 01 HLTH PART
131146 01 UCARE
1300140 01 MEDICA
131M0HA 01 MN BCBS
180700500 05 MN
institution
Provider Business Practice Location Address Details
Address
11850 Blackfoot St Nw Ste 130
City
State
Zip
55433-2583
Phone Number
763-236-1900
Fax Number
763-236-9010
person
Provider Business Mailing Address Details
Address
11850 Blackfoot St Nw Ste 130
City
State
Zip
55433-2583
Phone Number
763-236-1900
Fax Number
763-236-9010
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
1585 (Minnesota)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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