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Contact Information

CARLY L LODEWYKS
800 E 28TH ST STE H2100
MINNEAPOLIS, MN55407-3723
 Phone: 612-863-3900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CARLY L LODEWYKS · (Female)

NPI # 1295400471
Status Active
Credentials
Entity Individual
Enumeration date 08/10/2021
Last updated 08/10/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 72165
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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