Omlie, William R.

Omlie, William R. is an individual health care provider with primary practice located at 6405 France Ave S Suite W440, Edina MN 55435-2163. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Omlie, William R. can be contacted via phone (952) 927-7004.

Contact Information

Primary practice address
6405 France Ave S Suite W440 Edina MN 55435-2163
Phone: (952) 927-7004
Fax: (952) 927-5146
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 27471 Minnesota
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 27471 Minnesota

Profile Details

NPI number 1518997782
LBN Legal business name Omlie, William R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Apr 19th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518997782 NPPES
Minnesota MEDICAID 663788400

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