Provider Demographics
NPI:1619994696
Name:ADVANCEMENTS IN ALLERGY AND ASTHMA CARE LTD
Entity Type:Organization
Organization Name:ADVANCEMENTS IN ALLERGY AND ASTHMA CARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ROSS
Authorized Official - Last Name:WEXLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:952-546-6866
Mailing Address - Street 1:12450 WAYZATA BLVD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55305-1978
Mailing Address - Country:US
Mailing Address - Phone:952-546-6866
Mailing Address - Fax:952-512-0038
Practice Address - Street 1:12450 WAYZATA BLVD
Practice Address - Street 2:SUITE 215
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55305-1978
Practice Address - Country:US
Practice Address - Phone:952-546-6866
Practice Address - Fax:952-512-0038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center