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Contact Information

PLASTIC SURGERY INSTITUTE, PC
3280 20TH ST S
FARGO, ND58104-5917
 Phone: 701-293-7408
 Fax: 701-235-2099
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PLASTIC SURGERY INSTITUTE, PC

NPI # 1477638864
LBN Legal business name PLASTIC SURGERY INSTITUTE, PC
Authorized official MARGARET GILBERTSON - (PRACTICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/26/2006
Last updated 01/03/2011 - About 15 years ago
Identifiers
MN Medicaid 834693300
ND Medicaid 11131
MN Other 03T03AB BS MINNESOTA
ND Other 1163001 BS N DAKOTA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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