Mr. Rick Lee Nissen
Facial Plastic Surgeon
8714 Lyndale Ave S
Minneapolis
, Minnesota 55420-2738
Mr. Rick Lee Nissen
Facial Plastic Surgeon
8714 Lyndale Ave S
Minneapolis
, Minnesota 55420-2738
(952) 948-9086
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Mr. Rick Lee Nissen
- 8714 Lyndale Ave S
- Minneapolis, MN
- Zip : 55420-2738
- Fax : (952) 948-9086
- Phone : (952) 948-9695
Second Address
- Mr. Rick Lee Nissen
- 8714 Lyndale Ave S
- Minneapolis, MN
- Zip : 55420-2738
- Fax : (952) 948-9086
- Phone : (952) 948-9695
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | 30501 | MN |
National Provider Identifier
| NPI | 1306842711 |
|---|---|
| Provider Name | Mr. Rick Lee Nissen |
| First Address | Minneapolis, MN 55420-2738 |
| Second Address | Minneapolis, MN 55420-2738 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2005 |
| Last Update Date | 25/02/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 397082500 | (05) | MN |
| A93974 | (02) |
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.