Aesthetic-Reconstructive Plastic Surgery, Ltd

NPI #1801080353 in Fridley, Minnesota

Provider Information

NPI Number: 1801080353
Entity Type: Organization
Organization Name: Aesthetic-Reconstructive Plastic Surgery, Ltd
Primary Specialty: Specialist
Enumeration Date: Aug 28, 2007
Last Updated: Aug 28, 2007

Practice Location

Address: 500 OSBORNE RD NE
Address 2: UNITY PROFESSIONAL BLDG SUITE 350
City: Fridley
State: Minnesota
ZIP Code: 55432-2765
Phone: (763) 780-8927

Authorized Official

Name: DR. THOMAS J DIEM, D.D.S, M.D.
Title: DR/OWNER
Phone: (763) 780-8927

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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