William R. Omlie, M.D.

NPI #1518997782 in Edina, Minnesota

Provider Information

NPI Number: 1518997782
Entity Type: Individual
Name: William R. Omlie, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery - Vascular Surgery
Credential: M.D.
Enumeration Date: Jul 4, 2006
Last Updated: Apr 19, 2013

Practice Location

Address: 6405 FRANCE AVE S
Address 2: SUITE W440
City: Edina
State: Minnesota
ZIP Code: 55435-2163
Phone: (952) 927-7004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary

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Organizations

Provider Name	Specialty	City
Minnesota Vascular Clinic, Pllc	Surgery - Vascular Surgery	Edina	AI Deep Dive

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