Authentic Plastic Surgery, LLC

Plastic Surgery Physician · Minnetonka, MN

Organization Active NPI

NPI number 1922358514

Practice location

2000 Plymouth Road
Suite 300
Minnetonka, MN 55305-2335
Phone
(612) 360-6466

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NPI record

NPI
1922358514
Entity type
Organization (Type 2)
Enumeration date
September 12, 2012
Last updated
November 12, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Plastic Surgery Physician Primary 208200000X — —

Mailing address

2000 Plymouth Road
Suite 260
Minnetonka, MN 55305-2335
Phone
(612) 360-6466

Authorized official

Name
Pawel Stachowicz, MD
Title
MD
Phone
(612) 360-6466

About Authentic Plastic Surgery, LLC

Authentic 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 2000 Plymouth Road, Suite 300, Minnetonka, MN 55305-2335. The NPI number 1922358514 was assigned on September 12, 2012 and the record was last updated on November 12, 2012.

The authorized official for this organization is Pawel Stachowicz, MD, MD.

Frequently asked questions

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

The NPI number is 1922358514.

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

The phone number listed for the practice location is (612) 360-6466.

Where is Authentic Plastic Surgery, LLC located?

2000 Plymouth Road, Suite 300, Minnetonka, MN 55305-2335.

What is the taxonomy code for Authentic 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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