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Organization

MCCUE PLASTIC SURGERY, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN MCCUE MD (SOLE PROPRIETOR)
(612) 670-9076
Entity
Organization

Contact information

Practice address
7373 FRANCE AVE S, SUITE 510, EDINA, MN 55435-4534
(612) 670-9076
Mailing address
7373 FRANCE AVE S, SUITE 510, EDINA, MN 55435-4534
(612) 670-9076

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MN

Other

Enumeration date
04/13/2010
Last updated
04/13/2010
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