Individual
WILLIAM J LIPHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9801 DUPONT AVE S, SUITE 200, BLOOMINGTON, MN 55431-3100
(952) 888-5800
(952) 884-2656
Mailing address
9801 DUPONT AVE S, SUITE 425, BLOOMINGTON, MN 55431-3100
(952) 567-6092
(952) 567-6176
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
41668
MN
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
41668
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34027700
—
WI
05
—
668057700
—
MN
Enumeration date
09/14/2005
Last updated
10/17/2017
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