GRAPHICA MEDICA LLC NPI 1588872071

NPI Information

  • NPI: 1588872071
  • Provider Name: GRAPHICA MEDICA, LLC
  • Classification: Anaplastologist - 229N00000X
  • Entity Type: Organization
  • Address: 328 S BROADWAY
    ROCHESTER, MN
    ZIP 55904
  • Phone: (507) 288-3354

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NPI Details

GRAPHICA MEDICA, LLC is an anaplastologist in Rochester, MN. The provider is an anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA). GRAPHICA MEDICA, LLC NPI is 1588872071. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

328 S BROADWAY
ROCHESTER, MN
ZIP 55904-505
Phone: (507) 288-3354
Fax: (507) 288-3431

The provider's authorized official is Gillian F Duncan .
The authorized official title is President and has the following contact phone number (507) 288-3354.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 1/14/2016.

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
1229N00000XAnaplastologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
141703100MEDICAIDWISCONSIN
24265090001MEDICARE NSCMINNESOTA
354945MEDICAIDNORTH DAKOTA

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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