| NPI | 1659845659 |
|---|---|
| Doing Business As | OMNI COSMETIC |
| Entity Type | Organization |
| Authorized Contact | BRYAN NICHOLAS ROLFES Physician 763-559-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-05-15 |