<Unavail>

LBN: Advanced Specialty Associates, Ltd
<Unavail> is an health care organization with primary practice located at 13359 Isle Dr Suite 1, Baxter MN 56425-2221. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as the primary health care specialty. Advanced Specialty Associates, Ltd can be contacted via phone (218) 454-8888, or through Waters, Kurtis Allen via phone (218) 454-8888.

Contact Information

Primary practice address
13359 Isle Dr Suite 1 Baxter MN 56425-2221
Phone: (218) 454-8888
Fax: (888) 835-7231
Website:
Map and Directions
Authorized official contact:
Name: Waters, Kurtis Allen Doctor of Medicine (MD)
Phone: (218) 454-8888

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 37843 Minnesota

Profile Details

NPI number 1265583652
LBN Legal business name Advanced Specialty Associates, Ltd
DBA Doing business as <Unavail>
Authorized official Waters, Kurtis Allen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2007
Last updated Sep 19th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265583652 NPPES
Minnesota MEDICAID 930218200
Minnesota Other 422K7WA

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