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Contact Information

OMNI MEDICAL CENTER PLLC
935 WAYZATA BLVD E STE 200
WAYZATA, MN55391-2513
 Phone: 763-559-4500
 Fax: 763-559-1733
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for OMNI MEDICAL CENTER PLLC · (Female)

NPI Number 1659845659
Status Active
Credentials
Entity Individual
Enumeration date 01/14/2019
Last updated 05/15/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • Other 1659845659 OTHER INS
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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