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Contact Information

RALPH W BASHIOUM, MD
445 LAKE ST E
WAYZATA, MN55391-1657
 Phone: 952-449-4900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for RALPH W BASHIOUM · (Male)

NPI Number 1194869941
Status Active
Credentials MD
Entity Individual
Enumeration date 02/16/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 30397
Hospital affiliation(s) Not Available
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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