| Organization Name: | MIDSOTA PLASTIC AND RECONSTRUCTIVE SURGEONS PA |
| NPI Number: | 1043238843 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ENNIS H ARNSTON (EXECUTIVE DIRECTOR) |
| Mailing Address: | 3701 12th St N Suite 100 Saint Cloud |
| State: | MN US |
| Postal Code: | 563032255 |
| Phone Number: | 3202537257 |
| Fax Number: | 3202512938 |
| NPI Enumeration Date: | 07/18/2006 |
| NPI Last Update Date: | 02/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0122X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Plastic and Reconstructive Surgery |
| Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |