Organization
WAYZATA SURGERY CENTER
Active
Parent organization
OMNI MEDICAL CENTER PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OMNI MEDICAL CENTER PLLC
Authorized official
JOHN A NESS MD (PRESIDENT)
(763) 559-4500
Entity
Organization
Contact information
Practice address
935 WAYZATA BLVD E STE 200, WAYZATA, MN 55391-2513
(763) 559-4500
Mailing address
935 WAYZATA BLVD E STE 200, WAYZATA, MN 55391-2513
(763) 559-4500
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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