Edina Plastic Surgery, Ltd.
Plastic Surgery in Edina, MN. Organization (NPI-2).
NPI number1497766471
StatusActive
Last updated in NPPESSep 19, 2018
Details
- NPI
- 1497766471
- Entity type
- Organization (NPI-2)
- Legal business name
- Edina Plastic Surgery, Ltd.
- Organization subpart
- No
- Enumeration date
- Aug 11, 2006
- Last updated
- Sep 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | – | – | Yes |
Practice location
6525 France Ave. S., Suite 300Edina, MN 55435
Phone 952-925-1765 · Fax 952-925-1579
Mailing address
6525 France Ave. S., Suite 300Edina, MN 55435
Phone 952-925-1765 · Fax 952-925-1579
Authorized official
Robert C. Wilke
Surgeon
9529251765
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