Organization · Type 2 NPI

Minnesota Gynecology and Aesthetics, PA

Medical Specialty Clinic/Center · Wayzata, MN

NPI number 1831478940 Active

Practice location

1421 East Wayzata Blvd, Suite 200
Wayzata, MN 55391-1939

Fax (952) 473-2312

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X33512 (MN)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1831478940

Minnesota Gynecology and Aesthetics, PA's National Provider Identifier is 1831478940, issued on Aug 5, 2011. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Wayzata, MN. The record was last updated on Feb 15, 2012.