Omni Facial Plastic Surgery

LBN: Omni Facial Plastic Surgery
Omni Facial Plastic Surgery is an health care organization with primary practice located at 935 Wayzata Blvd E Ste 200 , Wayzata MN 55391-2513. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Omni Facial Plastic Surgery can be contacted via phone (320) 559-4500, or through Rolfes, Bryan Nicholas via phone (320) 774-2411.

Contact Information

Primary practice address
935 Wayzata Blvd E Ste 200 Wayzata MN 55391-2513
Phone: (320) 559-4500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rolfes, Bryan Nicholas Doctor of Medicine (MD)
Phone: (320) 774-2411

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X

Profile Details

NPI number 1003453515
LBN Legal business name Omni Facial Plastic Surgery
DBA Doing business as
Authorized official Rolfes, Bryan Nicholas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2019
Last updated Dec 3rd, 2019 - about 5 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 1003453515 NPPES
Minnesota Other 2018 CLA

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