Landis Plastic Surgery P C

NPI 1265509350 - Surgery - 2086S0122X

NPI Details
NPI 1265509350
Enumeration Date 11/30/2006
Last Updated 02/15/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KAREN KAREN
Position ADMINISTRATOR
Phone (763) 551-8985
Fax (763) 551-4897
Practice Location
109 BUSHAWAY RD
SUITE 200
WAYZATA MN, 55391-1945, US
Phone (763) 551-8985
Fax (763) 551-4897
Business Location
PO BOX 667
CIRCLE PINES MN, 55014-0667, US
Phone (763) 551-8985
Fax (763) 551-4897
Toxanomy
Taxonomy Code 2086S0122X
License State
License Number
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According to our database, Landis Plastic Surgery P C NPI is 1265509350, taxonomy code is 2086S0122X Landis Plastic Surgery P C physically located at 109 Bushaway Rd, Wayzata MN, 55391-1945. NPI Number 1033115704 has the healthcare provider type.

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1265509350 NPI number is provided on an as is basis without warranty of any kind. 1265509350 is maintained by the National Plan & Provider Enumeration System. The contents of Landis Plastic Surgery P C are for informational purposes only.