Wayzata Orthopedic's P.a.

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NPI Provider: 1164428223
Contact Name: Varecka F. Thomas
Position: president
Phone: (763) 383-0770

Wayzata Orthopedic's P.a. Information:

Wayzata Orthopedic's P.a. organization have npi 1164428223, taxonomy code is 207X00000X with license number is 22452 in . This Business address located in 2805 Campus Drive, Plymouth, MN 55441 Minnesota. Get directions of Wayzata Orthopedic's P.a..

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Practice Location
Address: 2805 Campus Dr, Plymouth, MN 55441
Phone: (763) 383-0770

Business Location

Address: 2805 Campus Drive, Plymouth, MN 55441

Phone: (763) 383-0770

Fax: (763) 383-0777

Taxonomy

Taxonomy Code: 207X00000X

License Number: 22452

License Number of State: MN

Primary Taxonomy Switch: Y

Enumeration Date: 6/23/2005

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