Provider Demographics
NPI:1659487304
Name:METROPOLITAN HAND SURGERY ASSOCIATES PA
Entity type:Organization
Organization Name:METROPOLITAN HAND SURGERY ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:FORSETH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:651-291-8773
Mailing Address - Street 1:310 SMITH AVE N STE 370
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-2383
Mailing Address - Country:US
Mailing Address - Phone:651-291-8773
Mailing Address - Fax:651-297-6834
Practice Address - Street 1:310 SMITH AVE N STE 370
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-2383
Practice Address - Country:US
Practice Address - Phone:651-291-8773
Practice Address - Fax:651-297-6834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the HandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN4978102Medicaid
MNC02210Medicare ID - Type Unspecified