Organization
ST PAUL PLASTIC SURGERY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI J LEMAX (OFFICE MANAGER)
(651) 646-2717
Entity
Organization
Contact information
Practice address
393 N DUNLAP ST, 832, ST PAUL, MN 55104
(651) 646-2717
(651) 646-5144
Mailing address
393 N DUNLAP ST, 832, ST PAUL, MN 55104
(651) 646-2717
(651) 646-5144
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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