Werner, Richard S

Werner, Richard S is an sole proprietor health care provider with primary practice located at 6545 France Ave. S Suite 276, Edina MN 55435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Werner, Richard S can be contacted via phone (952) 929-1812.

Contact Information

Primary practice address
6545 France Ave. S Suite 276 Edina MN 55435
Fax: (952) 929-1943
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 25128 Minnesota

Profile Details

NPI number 1578569539
LBN Legal business name Werner, Richard S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2005
Last updated Jul 14th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578569539 NPPES
Minnesota MEDICAID 800795100

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