Individual
MR. GREGORY TODD MESNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7407 WAYZATA BLVD., ST. LOUIS PARK, MN 55426
(952) 927-4556
(952) 897-1360
Mailing address
7407 WAYZATA BLVD., ST. LOUIS PARK, MN 55426
(952) 927-4556
(952) 897-1360
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
35064
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01020301
PREFERRED ONE
MN
01
—
109283
UCARE
MN
01
—
13-11226
MEDICA
MN
01
—
24T90SO
BLUE CROSS GROUP
MN
01
—
24T91ME
BLUE CROSS INDIV
MN
05
—
652888100
—
MN
05
—
MN652888100
—
MN
01
—
P00088815
RAILROAD MEDICARE
MN
Enumeration date
03/16/2006
Last updated
04/18/2016
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