SP Plastic Surgery, LLC

Plastic Surgery Physician · Minnetonka, MN

Organization Active NPI

NPI number 1114332301

Practice location

15450 Highway 7
Ste 225
Minnetonka, MN 55345-3522
Phone
(763) 999-4170
Fax
(763) 951-0941

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NPI record

NPI
1114332301
Entity type
Organization (Type 2)
Enumeration date
June 25, 2014
Last updated
November 7, 2022
Certified
November 7, 2022
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Plastic Surgery Physician Primary 208200000X 57866 MN

Authorized official

Name
Stephanie Lee Peng, MD
Title
President
Phone
(763) 999-4170

About SP Plastic Surgery, LLC

SP Plastic Surgery, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Plastic Surgery Physician (code 208200000X). The practice location is 15450 Highway 7, Ste 225, Minnetonka, MN 55345-3522. The NPI number 1114332301 was assigned on June 25, 2014 and the record was last updated on November 7, 2022.

SP Plastic Surgery, LLC lists a license in the registry: #57866 (MN) for Plastic Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Stephanie Lee Peng, MD, President.

Frequently asked questions

What is the NPI number of SP Plastic Surgery, LLC?

The NPI number is 1114332301.

What is the phone number of SP Plastic Surgery, LLC?

The phone number listed for the practice location is (763) 999-4170.

Where is SP Plastic Surgery, LLC located?

15450 Highway 7, Ste 225, Minnetonka, MN 55345-3522.

What is the taxonomy code for SP Plastic Surgery, LLC?

The primary taxonomy code is 208200000X – Plastic Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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