Organization
SUNNY S. KIM, MD PA
Active
Other names
Inspired Spine Health / Tristate Brain & Spine Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MARYA C LYDEEN (SVP/PRACTICE ADMINISTRATOR)
(952) 405-9760
Entity
Organization
Contact information
Practice address
1601 HIGHWAY 13 E STE 100, BURNSVILLE, MN 55337-6847
(320) 763-8888
(952) 582-1607
Mailing address
1601 HIGHWAY 13 E STE 100, BURNSVILLE, MN 55337-6847
(320) 763-8888
(952) 582-1607
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659301992
FACILITY
MN
01
—
1932303526
DR. HAMID R. ABBASI
MN
Enumeration date
08/08/2019
Last updated
09/07/2023
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