Organization
PLASTIC SURGERY CONSULTANTS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE SUPER (CLINIC ADMINISTRATOR)
(952) 746-6767
Entity
Organization
Contact information
Practice address
3300 EDINBOROUGH WAY, SUITE 505, EDINA, MN 55435-5923
(952) 746-6767
(952) 746-6768
Mailing address
3300 EDINBOROUGH WAY, SUITE 505, EDINA, MN 55435-5923
(952) 746-6767
(952) 746-6768
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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