Rick Lee Nissen in Minneapolis - Facial Plastic Surgery

Rick Lee Nissen - NPI 1306842711

Rick Lee Nissen is a Facial Plastic Surgery in Minneapolis, Minnesota. Rick Lee Nissen practices all healthcare services and medical treatments related to Facial Plastic Surgery. The NPI Number for Rick Lee Nissen is 1306842711. The last update date is 2013-02-25.

Rick Lee Nissen's current location address is 8714 Lyndale Ave S, Minneapolis, Minnesota. You can contact this provider via phone number 9529489695 and fax number 9529489086. The mailing address for Rick Lee Nissen is 8714 Lyndale Ave S, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Rick Lee Nissen
Address 8714 Lyndale Ave S, Minneapolis, Minnesota
Phone Number 9529489695
Fax Number 9529489086
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1306842711
Provider Enumeration Date 2005-06-22
Last Updated Date 2013-02-25

Provider Mailing Address Detail

Address 8714 Lyndale Ave S
City Minneapolis
State Minnesota (MN)
Post Code 5542027380
Phone Number 9529489695
Fax Number 9529489086

Provider's Primary Taxonomy Detail

Speciality Facial Plastic Surgery
Taxonomy 207Ys0123X
Licence No 30501
Definition:
An otolaryngologist who specializes in facial plastic surgery.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
397082500 MN --

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FAQs about Rick Lee Nissen

What is the Rick Lee Nissen's unique identification number?

The Rick Lee Nissen has been assigned the NPI (National Provider Identifier) Number 1306842711 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Rick Lee Nissen is geographically located?

The Rick Lee Nissen is physically situated at the following location: 8714 Lyndale Ave S, Minneapolis, MN, 5542027380.

What is Rick Lee Nissen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Rick Lee Nissen is Facial Plastic Surgery, and the taxonomy classification code that categorizes this area of expertise is 207Ys0123X.

On what date was the 1306842711 assigned to Rick Lee Nissen?

The Rick Lee Nissen was issued its 1306842711 on 2005-06-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Rick Lee Nissen most recently updated or revised?

The information pertaining to Rick Lee Nissen, including its address, specialty, and other relevant details, was last updated or revised on 2013-02-25.

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