CENTER FOR RESTORATIVE SURGERY AT MAPLE GROVE LLC NPI 1023746930

NPI Information

  • NPI: 1023746930
  • Provider Name: CENTER FOR RESTORATIVE SURGERY AT MAPLE GROVE, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 13601 80TH CIR N STE 100
    MAPLE GROVE, MN
    ZIP 55369
  • Phone: (763) 432-7655

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NPI Details

CENTER FOR RESTORATIVE SURGERY AT MAPLE GROVE, LLC is an ambulatory surgical clinic center in Maple Grove, MN. CENTER FOR RESTORATIVE SURGERY AT MAPLE GROVE, LLC NPI is 1023746930. The provider is registered as an organization entity type.

The provider's business location address is:

13601 80TH CIR N STE 100
MAPLE GROVE, MN
ZIP 55369-906
Phone: (763) 432-7655

The provider's authorized official is Michael Milelr .
The authorized official title is Regional Vice President Operations and has the following contact phone number (612) 518-5185.

The enumeration date for this NPI number is 8/9/2022 and was last updated on 8/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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