Minnesota Otolaryngology, P.a.

Specialty details in registry · Excelsior, MN

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At a glance

675 Water St, Excelsior, MN 55331-3063

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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Practice location

675 Water St
Excelsior, MN 55331-3063
Professional details: NPI, taxonomy & registry record
NPI1790821940
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
207Y00000X
Enumeration date
Jan 29, 2007
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

207Y00000X · Primary

License reported: 0202219 MN

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

675 Water St
Excelsior, MN 55331-3063
Phone
(952) 925-5626
Mailing address
675 WATER ST

EXCELSIOR, MN 553313063
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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