Aesthetic-Reconstructive Plastic Surgery, Ltd

LBN: Aesthetic-Reconstructive Plastic Surgery, Ltd
Aesthetic-Reconstructive Plastic Surgery, Ltd is an health care organization with primary practice located at 500 Osborne Rd Ne Unity Professional Bldg Suite 350, Fridley MN 55432-2765. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Aesthetic-Reconstructive Plastic Surgery, Ltd can be contacted via phone (763) 780-8927, or through Diem, Thomas J via phone (763) 780-8927.

Contact Information

Primary practice address
500 Osborne Rd Ne Unity Professional Bldg Suite 350 Fridley MN 55432-2765
Fax:
Website:
Authorized official contact:
Name: Diem, Thomas J D.D.S, M.D.

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 24664 Minnesota

Profile Details

NPI number 1801080353
LBN Legal business name Aesthetic-Reconstructive Plastic Surgery, Ltd
DBA Doing business as
Authorized official Diem, Thomas J D.D.S, M.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2007
Last updated Aug 28th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801080353 NPPES
Minnesota Other C00776 MEDICARE GROUP ID
Minnesota Other 03507AE MEDICARE GROUP ID

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