Organization
PLASTIC SURGERY SPECIALISTS, PA
Active
Other names
Plastic Surgery Specialists, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN LESTER VAN BEEK M.D. (PRESIDENT)
(952) 830-1028
Entity
Organization
Contact information
Practice address
7373 FRANCE AVE S, SUITE 510, EDINA, MN 55435-4534
(952) 830-1028
(952) 830-0091
Mailing address
7373 FRANCE AVE S, SUITE 510, EDINA, MN 55435-4534
(952) 830-1028
(952) 830-0091
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25914
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251502400
—
MN
Enumeration date
01/07/2008
Last updated
09/01/2022
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