Aesthetic And Plastic Surgery, Pa in Coon Rapids - Plastic And Reconstructive Surgery
Aesthetic And Plastic Surgery, Pa - NPI 1871704338
Aesthetic And Plastic Surgery, Pa is a Plastic And Reconstructive Surgery in Coon Rapids, Minnesota. Aesthetic And Plastic Surgery, Pa practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Aesthetic And Plastic Surgery, Pa is 1871704338. The last update date is 2020-12-06.
Aesthetic And Plastic Surgery, Pa's current location address is 11850 Blackfoot St Nw Ste 130, Coon Rapids, Minnesota. You can contact this provider via phone number 7632361900 and fax number 7632369010. The mailing address for Aesthetic And Plastic Surgery, Pa is 11850 Blackfoot St Nw Ste 130, Coon Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Aesthetic And Plastic Surgery, Pa |
|---|---|
| Address | 11850 Blackfoot St Nw Ste 130, Coon Rapids, Minnesota |
| Phone Number | 7632361900 |
| Fax Number | 7632369010 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Hatfield Agnieszka |
| Credentials | M.D. |
| Telephone Number | 7632361900 |
NPI Number Detail
| NPI Number | 1871704338 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| Last Updated Date | 2020-12-06 |
Provider Mailing Address Detail
| Address | 11850 Blackfoot St Nw Ste 130 |
|---|---|
| City | Coon Rapids |
| State | Minnesota (MN) |
| Post Code | 554332583 |
| Phone Number | 7632361900 |
| Fax Number | 7632369010 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | 1585 |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 92321 | HLTH PART | ||
| 131146 | UCARE | ||
| 1300140 | MEDICA | ||
| 131M0HA | MN | BCBS | |
| 180700500 | MN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Aesthetic And Plastic Surgery, Pa?
The Aesthetic And Plastic Surgery, Pa has been issued the NPI (National Provider Identifier) 1871704338 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Aesthetic And Plastic Surgery, Pa is located?
The Aesthetic And Plastic Surgery, Pa is situated at the following address: 11850 Blackfoot St Nw Ste 130, Coon Rapids, MN, 554332583.
What is Aesthetic And Plastic Surgery, Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Aesthetic And Plastic Surgery, Pa is Plastic And Reconstructive Surgery, and the taxonomy code that classifies this field of practice is 2086S0122X.
When was the Aesthetic And Plastic Surgery, Pa's 1871704338 issued?
The Aesthetic And Plastic Surgery, Pa's 1871704338 was issued on 2007-05-25.
As of what date was the information regarding Aesthetic And Plastic Surgery, Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Aesthetic And Plastic Surgery, Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-12-06.
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