Wayzata Orthopedic'S P.A. in Plymouth - Orthopaedic Surgery

Wayzata Orthopedic'S P.A. - NPI 1164428223

Wayzata Orthopedic'S P.A. is a Orthopaedic Surgery in Plymouth, Minnesota. Wayzata Orthopedic'S P.A. practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Wayzata Orthopedic'S P.A. is 1164428223. The last update date is 2008-10-23.

Wayzata Orthopedic'S P.A.'s current location address is 2805 Campus Drive, Plymouth, Minnesota. You can contact this provider via phone number 7633830770 and fax number 7633830777. The mailing address for Wayzata Orthopedic'S P.A. is 2805 Campus Drive, Plymouth, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Wayzata Orthopedic'S P.A.
Address 2805 Campus Drive, Plymouth, Minnesota
Phone Number 7633830770
Fax Number 7633830777
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Varecka F. Thomas
Credentials M.D.
Telephone Number 7633830770

NPI Number Detail

NPI Number 1164428223
Provider Enumeration Date 2005-06-23
Last Updated Date 2008-10-23

Provider Mailing Address Detail

Address 2805 Campus Drive
City Plymouth
State Minnesota (MN)
Post Code 554412616
Phone Number 7633830770
Fax Number 7633830777

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Licence No 22452
Definition:
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car

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FAQs about Wayzata Orthopedic'S P.A.

What is the unique 10-digit identification code assigned to Wayzata Orthopedic'S P.A. by the Centers for Medicare & Medicaid Services?

The Wayzata Orthopedic'S P.A. has been issued the NPI (National Provider Identifier) 1164428223, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Wayzata Orthopedic'S P.A. is located?

The Wayzata Orthopedic'S P.A. is situated at the following address: 2805 Campus Drive, Plymouth, MN, 554412616.

What is Wayzata Orthopedic'S P.A.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Wayzata Orthopedic'S P.A. is Orthopaedic Surgery, and the taxonomy code that classifies this field of practice is 207X00000X.

On what date did the Wayzata Orthopedic'S P.A. receive the assignment of its 1164428223 from the Centers for Medicare & Medicaid Services?

The Wayzata Orthopedic'S P.A. was issued its 1164428223 by the Centers for Medicare & Medicaid Services on 2005-06-23.

As of what date was the information pertaining to Wayzata Orthopedic'S P.A., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Wayzata Orthopedic'S P.A., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-10-23.

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