Minnesota Otolaryngology, P.A. in Excelsior - Otolaryngology
Minnesota Otolaryngology, P.A. - NPI 1790821940
Minnesota Otolaryngology, P.A. is a Otolaryngology in Excelsior, Minnesota. Minnesota Otolaryngology, P.A. practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Minnesota Otolaryngology, P.A. is 1790821940. The last update date is 2020-08-22.
Minnesota Otolaryngology, P.A.'s current location address is 675 Water St, Excelsior, Minnesota. You can contact this provider via phone number 9529255626. The mailing address for Minnesota Otolaryngology, P.A. is 675 Water St, Excelsior, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Minnesota Otolaryngology, P.A. |
|---|---|
| Address | 675 Water St, Excelsior, Minnesota |
| Phone Number | 9529255626 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Larsen John |
| Credentials | M.D. |
| Telephone Number | 9529255626 |
NPI Number Detail
| NPI Number | 1790821940 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 675 Water St |
|---|---|
| City | Excelsior |
| State | Minnesota (MN) |
| Post Code | 5533130630 |
| Phone Number | 9529255626 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 202219 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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What is the Minnesota Otolaryngology, P.A.'s 1790821940?
The Minnesota Otolaryngology, P.A.'s NPI (National Provider Identifier) Number is 1790821940. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Minnesota Otolaryngology, P.A.'s facilities are geographically located?
The facilities of Minnesota Otolaryngology, P.A. are physically situated at the following location: 675 Water St, Excelsior, MN, 5533130630.
What is Minnesota Otolaryngology, 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 Minnesota Otolaryngology, P.A. is Otolaryngology, and the taxonomy code that classifies this field of practice is 207Y00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1790821940 to Minnesota Otolaryngology, P.A.?
The Centers for Medicare & Medicaid Services assigned the 1790821940 to Minnesota Otolaryngology, P.A. on 2007-01-29.
When was the information regarding Minnesota Otolaryngology, P.A. most recently updated?
The details pertaining to the Minnesota Otolaryngology, P.A., including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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