Organization
SURGICAL SPECIALTIES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL M. JULSRUD M.D. (PARTNER)
(952) 224-9350
Entity
Organization
Contact information
Practice address
470 W 78TH ST, CHANHASSEN, MN 55317-4524
(952) 224-9350
(952) 224-9356
Mailing address
470 W 78TH ST, CHANHASSEN, MN 55317-4539
(952) 224-9350
(952) 224-9356
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
186
MN
Other
Enumeration date
04/19/2006
Last updated
10/18/2012
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