Organization
ADVANCED COSMETIC & PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FEREYDOON S MAHJOURI MD (OWNER/MD)
(763) 780-2770
Entity
Organization
Contact information
Practice address
500 OSBORNE RD NE, SUITE 130, FRIDLEY, MN 55432-2765
(763) 780-2770
(763) 780-2812
Mailing address
500 OSBORNE RD NE, SUITE 130, FRIDLEY, MN 55432-2765
(763) 780-2770
(763) 780-2812
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
23415
MN
Other
Enumeration date
03/06/2009
Last updated
07/10/2009
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