# ADVANCED ORTHOPAEDIC SURGERY, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285671263
- **Authorized official:** MARK CONRAD GREGERSON MD (OWNER)
- **Authorized official phone:** (952) 470-2231

## Contact information

- **Practice address:** 1805 HENNEPIN AVE N, GLENCOE, MN 55336-1416
- **Practice address phone:** (320) 864-3121
- **Mailing address:** 6633 BRENDEN CT, CHANHASSEN, MN 55317-7560
- **Mailing address phone:** (952) 470-2231

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/31/2006
- **Last updated:** 08/22/2020