NPI 1235323585
Bart Theodore Endrizzi, MDPHD
Practice location
- Address
- 500 Osborne Rd NE STE 330, Fridley, MN 55432-2769
- Phone
- (763) 571-4000
- Mailing address
- 119 14th St NW STE 240, New Brighton, MN 55112-0007
Registered specialties
MOHS-Micrographic Surgery Physician
Primary
Registry record
- NPI
- 1235323585
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 29 Aug 2007
- Record last updated
- 22 Aug 2022
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.