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Organization
OMNI MEDICAL CENTER PLLC
Active
Organization
OMNI MEDICAL CENTER PLLC
Active
Other names
Omni Cosmetic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A NESS MD (CEO)
(763) 559-4500
Entity
Organization
Contact information
Practice address
935 WAYZATA BLVD E STE 200, WAYZATA, MN 55391-2513
(763) 559-4500
(763) 559-1733
Mailing address
935 WAYZATA BLVD E STE 200, WAYZATA, MN 55391-2513
(763) 559-4500
(763) 559-1733
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
NULL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
NULL
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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