Basic Information
Provider Information
NPI: 1619921731
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DRESNER
FirstName: HARLEY
MiddleName: S
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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OtherLastName:  
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Mailing Information
Address1: 8170 33RD AVE S
Address2: MS21110Q
City: MINNEAPOLIS
State: MN
PostalCode: 554254516
CountryCode: US
TelephoneNumber: 9528835375
FaxNumber: 6512548558
Practice Location
Address1: 401 PHALEN BLVD - MS 41104I
Address2: HEALTHPARTNERS SPECIALTY CENTER 401
City: ST. PAUL
State: MN
PostalCode: 551305302
CountryCode: US
TelephoneNumber: 6512548550
FaxNumber: 6512548558
Other Information
ProviderEnumerationDate: 05/22/2006
LastUpdateDate: 12/16/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Y00000X45207MDY Allopathic & Osteopathic PhysiciansOtolaryngology 
207YS0123X45207MDN Allopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
207YX0007X45207MDN Allopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
207YX0905X45207MDN Allopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery

No ID Information.


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