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Contact Information

ANTHONY DE ANGELIS
3900 PARK NICOLLET BLVD
SAINT LOUIS PARK, MN55416-2503
 Phone: 952-993-3123
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ANTHONY DE ANGELIS · (Male)

NPI Number 1780668897
Status Active
Credentials
Entity Individual
Enumeration date 12/01/2005
Last updated 10/10/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 41374
Hospital affiliation(s)
  • PARK NICOLLET METHODIST HOSPITAL - (Acute Care)
    6500 EXCELSIOR BLVD
    SAINT LOUIS PARK, MN 55426
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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