| NPI | 1295910412 |
|---|---|
| Doing Business As | PLASTIC SURGERY SPECIALISTS, P.A. |
| Entity Type | Organization |
| Authorized Contact | ALLEN LESTER VAN BEEK President 952-830-1028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MN 25914) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2022-09-01 |