OTOLARYNGOLOGY HEAD & NECK SURGERY P.A. NPI 1609019363

NPI Information

OTOLARYNGOLOGY HEAD & NECK SURGERY, P.A,. is a durable medical equipment medical supplies in Woodbury, MN. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. OTOLARYNGOLOGY HEAD & NECK SURGERY, P.A,. NPI is 1609019363. The provider is registered as an organization entity type.
The provider Is Doing Business As Midwest Ear, Nose & Throat Specialists.

The provider's business location address is:

2080 WOODWINDS DR STE 240
WOODBURY, MN
ZIP 55125-539
Phone: (651) 702-0750
Fax: (651) 645-6166

The provider's authorized official is Barbara N. Malone .
The authorized official title is President and has the following contact phone number (651) 702-0750.

The CLIA number assigned to this NPI record is 52D2297134 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2009 and was last updated on 4/10/2009.

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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