Midsota Plastic And Reconstructive Surgeons Pa in Saint Cloud - Plastic And Reconstructive Surgery

Midsota Plastic And Reconstructive Surgeons Pa - NPI 1043238843

Midsota Plastic And Reconstructive Surgeons Pa is a Plastic And Reconstructive Surgery in Saint Cloud, Minnesota. Midsota Plastic And Reconstructive Surgeons Pa practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Midsota Plastic And Reconstructive Surgeons Pa is 1043238843. The last update date is 2010-02-25.

Midsota Plastic And Reconstructive Surgeons Pa's current location address is 3701 12th St N, Saint Cloud, Minnesota. You can contact this provider via phone number 3202537257 and fax number 3202512938. The mailing address for Midsota Plastic And Reconstructive Surgeons Pa is 3701 12th St N, Saint Cloud, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Midsota Plastic And Reconstructive Surgeons Pa
Address 3701 12th St N, Saint Cloud, Minnesota
Phone Number 3202537257
Fax Number 3202512938
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Arnston H Ennis
Telephone Number 3202537257

NPI Number Detail

NPI Number 1043238843
Provider Enumeration Date 2006-07-18
Last Updated Date 2010-02-25

Provider Mailing Address Detail

Address 3701 12th St N
City Saint Cloud
State Minnesota (MN)
Post Code 563032255
Phone Number 3202537257
Fax Number 3202512938

Provider's Primary Taxonomy Detail

Speciality Plastic And Reconstructive Surgery
Taxonomy 2086S0122X
Definition:
A surgeon who specializes in plastic and reconstructive surgery.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7537 METRAHEALTH MPIN
53242MI BCBS
192212200 NEW MA PROVIDER
108167 UCARE

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FAQs about Midsota Plastic And Reconstructive Surgeons Pa

What is the unique 10-digit identifier code assigned to Midsota Plastic And Reconstructive Surgeons Pa by the Centers for Medicare & Medicaid Services?

The Midsota Plastic And Reconstructive Surgeons Pa has been issued the NPI (National Provider Identifier) 1043238843 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Midsota Plastic And Reconstructive Surgeons Pa's facilities are situated?

The facilities of Midsota Plastic And Reconstructive Surgeons Pa are physically located at the following address: 3701 12Th St N, Saint Cloud, MN, 563032255.

What is Midsota Plastic And Reconstructive Surgeons Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Midsota Plastic And Reconstructive Surgeons Pa is Plastic And Reconstructive Surgery, and the taxonomy code that classifies this field of practice is 2086S0122X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1043238843 to Midsota Plastic And Reconstructive Surgeons Pa?

The Centers for Medicare & Medicaid Services originally issued the 1043238843 to Midsota Plastic And Reconstructive Surgeons Pa on 2006-07-18.

As of what date were the details related to Midsota Plastic And Reconstructive Surgeons Pa most recently updated or revised?

The information pertaining to Midsota Plastic And Reconstructive Surgeons Pa, including its address, specialty, and other relevant details, was last updated or revised on 2010-02-25.

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