| NPI | 1992256903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHIAS SOLOMON Owner Of Practice 507-250-7803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX P3587) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |