Dr. Bart Theodore Endrizzi
MOHS-Micrographic Surgeon
420 Delaware St Se
Minneapolis
, Minnesota 55455-0341
Dr. Bart Theodore Endrizzi
MOHS-Micrographic Surgeon
420 Delaware St Se
Minneapolis
, Minnesota 55455-0341
(612) 884-0649
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Bart Theodore Endrizzi
- 720 Washington Ave Se University Of Minnesota Physicians
- Minneapolis, MN
- Zip : 55414
- Phone : (612) 884-0649
Second Address
- Dr. Bart Theodore Endrizzi
- 420 Delaware St Se
- Minneapolis, MN
- Zip : 55455-0341
- Phone : (612) 625-8625
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 52206 | MN |
National Provider Identifier
| NPI | 1235323585 |
|---|---|
| Provider Name | Dr. Bart Theodore Endrizzi |
| First Address | Minneapolis, MN 55414 |
| Second Address | Minneapolis, MN 55455-0341 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/08/2007 |
| Last Update Date | 30/10/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.