Organization
MINNEAPOLIS PLASTIC SURGERY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD H THOLEN MD (PRESIDENT)
(763) 545-0443
Entity
Organization
Contact information
Practice address
4825 OLSON MEMORIAL HWY, #200, MINNEAPOLIS, MN 55422
(763) 545-0443
(763) 545-2784
Mailing address
4825 OLSON MEMORIAL HWY, #200, MINNEAPOLIS, MN 55422
(763) 545-0443
(763) 545-2784
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
788
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9813016
MEDICA INS CLINIC
MN
Enumeration date
03/03/2006
Last updated
08/22/2020
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