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Contact Information

WILLIAM J LIPHAM, MD
9801 DUPONT AVE S
SUITE 200
BLOOMINGTON, MN55431-3100
 Phone: 952-888-5800
 Fax: 952-884-2656
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmic Plastic and Reconstructive Surgery

207WX0200X 18 Physician/Ophthalmology
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for WILLIAM J LIPHAM · (Male)

NPI # 1528053717
Status Active
Credentials MD
Entity Individual
Enumeration date 09/14/2005
Last updated 10/17/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 41668
  • MN Medicaid 668057700
  • WI Medicaid 34027700
Hospital affiliation(s)
  • ABBOTT NORTHWESTERN HOSPITAL - (Acute Care)
    800 EAST 28TH STREET
    MINNEAPOLIS, MN 55407
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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