Organization · Type 2 NPI
Vascular Surgery Associates PA
Vascular Surgery Physician · Blaine, MN
NPI number
1083894836
Active
Practice location
11855 Ulysses St NE Ste 220
Blaine, MN 55434-4181
Fax (763) 576-5394
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | 31967 (MN) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
About NPI 1083894836
Vascular Surgery Associates PA's National Provider Identifier is 1083894836, issued on Nov 9, 2007. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Blaine, MN. The record was last updated on Jul 29, 2025.