| NPI | 1497890594 |
|---|---|
| Doing Business As | MINNEAPOLIS ORAL & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL K SUTLEY President 612-333-3381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MN d9086) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |