MIDSOTA PLASTIC AND RECONSTRUCTIVE SURGEONS PA NPI 1043238843

NPI Information

MIDSOTA PLASTIC AND RECONSTRUCTIVE SURGEONS PA is a plastic and reconstructive surgery surgery in Saint Cloud, MN. The provider is a surgeon who specializes in plastic and reconstructive surgery. MIDSOTA PLASTIC AND RECONSTRUCTIVE SURGEONS PA NPI is 1043238843. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Midsota Plastic Surgeons.

The provider's business location address is:

3701 12TH ST N
SUITE 100
SAINT CLOUD, MN
ZIP 56303-255
Phone: (320) 253-7257
Fax: (320) 251-2938

The provider's authorized official is Ennis H Arnston .
The authorized official title is Executive Director and has the following contact phone number (320) 253-7257.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 2/25/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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