Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 36379 | MN |
NPI | 1124046933 |
---|---|
Provider Name | Dr. John A Ness |
First Address | Wayzata, MN 55391-2513 |
Second Address | Wayzata, MN 55391-2513 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 24/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01271SC | BCBS (01) | |
07537 | METRAHEALTH MPIN (01) | |
108167 | UCARE (01) | |
111019 | UCARE (01) | |
111041 | UCARE (01) | |
1324439 | MEDICA (01) | |
1324451 | MEDICA (01) | |
1324452 | MEDICA (01) | |
249000020 | METRAHEALTH (01) | |
249000023 | METRAHEALTH MPIN (01) | |
532001 | P ONE (01) | |
532002 | P ONE (01) | |
53242MI | BCBS (01) | |
54385HE | BCBS (01) | |
56657SM | BCBS (01) | |
D16752 | (02) | |
D75422 | (02) | |
D76688 | (02) | |
D80188 | (02) |