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Individual

MR. RICHARD S WERNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6545 FRANCE AVE. S, SUITE 276, EDINA, MN 55435
(952) 929-1812
(952) 929-1943
Mailing address
7801 EAST BUSH LAKE RD, SUITE 320, BLOOMINGTON, MN 55439
(952) 831-5773
(952) 831-7224

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
25128
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
800795100
MN
Enumeration date
06/24/2005
Last updated
07/14/2009
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