MAPLE GROVE CENTER FOR RESTORATIVE SURGERY LLC

MAPLE GROVE, MN
NPI1144644717
Entity TypeOrganization
Authorized ContactDANIEL HANSON
Medical Director
651-324-8693
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Additional Taxonomies261QA1903X Clinic/Center, Ambulatory Surgical
(Licence: MN  679516700023)
Enumeration Date2014-02-18
Last Update Date2019-12-19
Business Address
MAPLE GROVE CENTER FOR RESTORATIVE SURGERY LLC
13601 80TH CIRCLE NORTH SUITE 100
MAPLE GROVE, MN 55369
Phone number: 763-432-7655
Mailing Address
MAPLE GROVE CENTER FOR RESTORATIVE SURGERY LLC
13601 80TH CIRCLE NORTH SUITE 100
MAPLE GROVE, MN 55369
Phone number: 763-432-7655