Organization
WAYZATA ORTHOPEDICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA J HAY (OFFICE ADM)
(763) 383-0770
Entity
Organization
Contact information
Practice address
2805 CAMPUS DR, SUITE 425, PLYMOUTH, MN 55441-2676
(763) 383-0770
(763) 383-0777
Mailing address
2805 CAMPUS DR, SUITE 425, PLYMOUTH, MN 55441-2676
(763) 383-0770
(763) 383-0777
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1069
MS
Other
Enumeration date
01/04/2007
Last updated
07/23/2013
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