Anthony Kevin Muiderman in Grand Forks - Plastic Surgery
Anthony Kevin Muiderman - NPI 1003802430
Anthony Kevin Muiderman is a Plastic Surgery in Grand Forks, North Dakota. Anthony Kevin Muiderman practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Anthony Kevin Muiderman is 1003802430. The last update date is 2019-02-26.
Anthony Kevin Muiderman's current location address is 3165 Demers Ave - Truyu Aesthetic Center, Grand Forks, North Dakota. You can contact this provider via phone number 7017806623. The mailing address for Anthony Kevin Muiderman is 3165 Demers Ave - Truyu Aesthetic Center, Grand Forks, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony Kevin Muiderman |
|---|---|
| Address | 3165 Demers Ave - Truyu Aesthetic Center, Grand Forks, North Dakota |
| Phone Number | 7017806623 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1003802430 |
|---|---|
| Provider Enumeration Date | 2005-09-21 |
| Last Updated Date | 2019-02-26 |
Provider Mailing Address Detail
| Address | 3165 Demers Ave - Truyu Aesthetic Center |
|---|---|
| City | Grand Forks |
| State | North Dakota (ND) |
| Post Code | 58201 |
| Phone Number | 7017806623 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | 10458 |
|
Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34199500 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Anthony Kevin Muiderman by the Centers for Medicare & Medicaid Services?
The Anthony Kevin Muiderman has been assigned the NPI (National Provider Identifier) 1003802430 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Anthony Kevin Muiderman's facilities are situated?
The facilities of Anthony Kevin Muiderman are physically located at the following address: 3165 Demers Ave - Truyu Aesthetic Center, Grand Forks, ND, 58201.
What is the Anthony Kevin Muiderman's specialty and taxonomy code?
The Anthony Kevin Muiderman's specialty is Plastic Surgery, and the corresponding taxonomy code is 208200000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003802430 to Anthony Kevin Muiderman?
The Centers for Medicare & Medicaid Services originally issued the 1003802430 to Anthony Kevin Muiderman on 2005-09-21.
As of what date were the details pertaining to Anthony Kevin Muiderman last refreshed?
The information related to the Anthony Kevin Muiderman, including its address, specialty, and other relevant details, was last updated on 2019-02-26.
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