Individual provider · Type 1 NPI

Kipton J. V. Lundquist

Plastic and Reconstructive Surgery Physician · Minneapolis, MN

NPI number 1891722260 Active

Practice location

701 Park Ave, P5
Minneapolis, MN 55415-1623

Call (612) 873-2810 Map

Mailing address

5933 Tamarac Ave
Edina, MN 55436-1745

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122X24005 (MN)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1891722260

Kipton J. V. Lundquist's National Provider Identifier is 1891722260, issued on Jun 28, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Minneapolis, MN. The record was last updated on Dec 30, 2011.