Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 45207 | MD |
N | 207YS0123X | Facial Plastic Surgeon | 45207 | MD |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 45207 | MD |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 45207 | MD |
NPI | 1619921731 |
---|---|
Provider Name | Harley S Dresner |
First Address | Minneapolis, MN 55425-4516 |
Second Address | St. Paul, MN 55130-5302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2006 |
Last Update Date | 16/12/2011 |