Woodbury Plastic Surgery PA

NPI #1225151418 in Woodbury, Minnesota

Provider Information

NPI Number
1225151418
Entity Type
Organization
Organization Name
Woodbury Plastic Surgery PA
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Apr 10, 2007
Last Updated
Dec 14, 2012

Practice Location

Address
604 BIELENBERG DR
Address 2
STE 250
ZIP Code
55125-1414
Phone
(651) 730-4100

Authorized Official

Name
MS. MALAY L THAO
Title
OFFICE MANAGER
Phone
(651) 730-4100

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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