National Provider Identifier Database

FACIAL PLASTIC RECONSTRUCTIVE SURGERY SPECIALISTS PA
Plastic Surgery Within the Head and Neck

A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.


Contact Information

FACIAL PLASTIC & RECONSTRUCTIVE SURGERY SPECIALISTS PA
7373 FRANCE AVE S
SUITE 410
EDINA, MN55435-4534
Phone: 952-844-0404
Fax:
Website:
Specialty Taxonomy Code
* Plastic Surgery Within the Head and Neck 2082S0099X

* Indicates primary specialty

NPI Profile & details for FACIAL PLASTIC & RECONSTRUCTIVE SURGERY SPECIALISTS PA

NPI Number 1992877088
Legal business name
LBN
FACIAL PLASTIC & RECONSTRUCTIVE SURGERY SPECIALISTS PA
Authorized official JYL DINVILLE - (PHYSICIAN CODING & REIMBURSEMENT)
Entity Organization
Organization subpart No
Enumeration date 11/14/2006
Last updated 06/24/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 23875
  • Other: 34040 HEALTHPARTNERS
  • Other: HP13518 HEALTHPARTNERS
  • Other: 1300010 MEDICA CHOICE

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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