| J. Bart Muldowney MD, PA | |
|
7450 France Ave S Suite 220 Edina MN 55435-4787 | |
| (952) 925-1111 | |
| (952) 922-3446 |
| Full Name | J. Bart Muldowney MD, PA |
|---|---|
| Speciality | Clinic/Center |
| Location | 7450 France Ave S, Edina, Minnesota |
| Authorized Official Name and Position | J Bart Muldowney (OWNER) |
| Authorized Official Contact | 9529251111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Bart Muldowney MD, PA 7450 France Ave S Suite 220 Edina MN 55435-4787 Ph: (952) 925-1111 | J. Bart Muldowney MD, PA 7450 France Ave S Suite 220 Edina MN 55435-4787 Ph: (952) 925-1111 |
| NPI Number | 1881916377 |
|---|---|
| Provider Enumeration Date | 02/24/2010 |
| Last Update Date | 07/26/2023 |
| Certification Date | 07/26/2023 |
| Medicare PECOS PAC ID | 8527103209 |
|---|---|
| Medicare Enrollment ID | O20100305000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881916377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 27468 (Minnesota) | Primary |
| Provider Name | J Bart Muldowney |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1952335960 PECOS PAC ID: 1355486036 Enrollment ID: I20100305000274 |
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