Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | D8469 | MN |
NPI | 1003848086 |
---|---|
Provider Name | Dr. Michael W. Lehnert |
First Address | Minneapolis, MN 55455-0357 |
Second Address | Minneapolis, MN 55455-0357 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 08/07/2007 |