| Dr Brian J Kobienia, MD | |
|
2805 Campus Dr Ste 485, Plymouth, MN 55441-2919 | |
| (612) 930-1111 | |
| (763) 413-7169 |
| Full Name | Dr Brian J Kobienia |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery |
| Location | 2805 Campus Dr Ste 485, Plymouth, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518985720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 37652 (Minnesota) | Secondary |
| 208200000X | Plastic Surgery | 27468 (Minnesota) | Primary |
| Entity Name | Brian J Kobienia Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831411321 PECOS PAC ID: 6305981085 Enrollment ID: O20100305000311 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian J Kobienia, MD 2805 Campus Dr Ste 485, Plymouth, MN 55441-2919 Ph: (612) 930-1111 | Dr Brian J Kobienia, MD 2805 Campus Dr Ste 485, Plymouth, MN 55441-2919 Ph: (612) 930-1111 |
Dr. Michael Cloud Fasching, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2805 Campus Dr, Suite 335, Plymouth, MN 55441 Phone: 763-577-7500 Fax: 763-577-7545 | |
Jonathan Dean Mccue, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2805 Campus Dr Ste 335, Plymouth, MN 55441 Phone: 952-830-0089 Fax: 952-562-5949 |