Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MIDSOTA PLASTIC AND RECONSTRUCTIVE SURGEONS PA
Active
Organization
MIDSOTA PLASTIC AND RECONSTRUCTIVE SURGEONS PA
Active
Other names
Midsota Plastic Surgeons
Organization subpart
No
Provider details
NPI number
Authorized official
ENNIS H ARNSTON (EXECUTIVE DIRECTOR)
(320) 253-7257
Entity
Organization
Contact information
Practice address
3701 12TH ST N, SUITE 100, SAINT CLOUD, MN 56303-2255
(320) 253-7257
(320) 251-2938
Mailing address
3701 12TH ST N, SUITE 100, SAINT CLOUD, MN 56303-2255
(320) 253-7257
(320) 251-2938
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07537
METRAHEALTH MPIN
—
01
—
108167
UCARE
—
01
—
192212200
NEW MA PROVIDER
—
01
—
53242MI
BCBS
—
Enumeration date
07/18/2006
Last updated
02/25/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up