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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

NPI # 1659845659
LBN Legal business name OMNI MEDICAL CENTER PLLC
Authorized official BRYAN ROLFES - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 01/14/2019
Last updated 05/15/2019 - About 7 years ago
Identifiers
Other 1659845659 OTHER INS
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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