Organization · Type 2 NPI
Primary Ent, L.l.c.
Otolaryngology/Facial Plastic Surgery Physician · Savage, MN
NPI number
1386374593
Active
Practice location
14020 Hwy 13 S Ste 350
Savage, MN 55378-7103
Fax (952) 395-2501
Mailing address
6021 Northwood Rdg
Bloomington, MN 55438-1282
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology Physician | 207Y00000X | None listed |
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | None listed |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
2 other providers at this address
About NPI 1386374593
Primary Ent, L.l.c.'s National Provider Identifier is 1386374593, issued on Jun 13, 2022. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Savage, MN. The record was last updated on Nov 17, 2022.