NPI 1992877088
Facial Plastic & Reconstructive Surgery Specialists PA
Practice location
- Address
- 7373 France Ave S Suite 410, Edina, MN 55435-4534
- Phone
- (952) 844-0404
- Mailing address
- PO Box 27015, Omaha, NE 68127-0015
Authorised official
- Name
- Jyl R Dinville
- Title
- Physician Coding & Reimbursement
- Phone
- (402) 397-5462
Registered specialties
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
Registry record
- NPI
- 1992877088
- Entity type
- Organization
- NPI issued
- 14 Nov 2006
- Record last updated
- 24 Jun 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.