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Contact Information

THEMISTOCLES P ECONOMOU, MD
7760 FRANCE AVE S STE 1000
BLOOMINGTON, MN55435-5870
 Phone: 952-746-6767
 Fax: 952-746-6768
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for THEMISTOCLES P ECONOMOU · (Male)

NPI # 1528152170
Status Active
Credentials MD
Entity Individual
Enumeration date 10/03/2006
Last updated 10/07/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 37341
  • MN Medicaid 384325400
Hospital affiliation(s)
  • ABBOTT NORTHWESTERN HOSPITAL - (Acute Care)
    800 EAST 28TH STREET
    MINNEAPOLIS, MN 55407
  • FAIRVIEW SOUTHDALE HOSPITAL - (Acute Care)
    6401 FRANCE AVENUE SOUTH
    EDINA, MN 55435
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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