Organization
MINNESOTA GYNECOLOGY AND AESTHETICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA N ERHARD M.D. (CEO)
(952) 220-9301
Entity
Organization
Contact information
Practice address
1421 EAST WAYZATA BLVD, SUITE 200, WAYZATA, MN 55391-1939
(952) 473-6642
(952) 473-2312
Mailing address
1421 EAST WAYZATA BLVD, SUITE 200, WAYZATA, MN 55391-1939
(952) 473-6642
(952) 473-2312
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
33512
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
615323200
—
MN
Enumeration date
08/05/2011
Last updated
02/15/2012
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