NPI 1114332301

Sp Plastic Surgery, LLC

Organisation Plastic Surgery Physician Minnetonka, MN

Practice location

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

Authorised official

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

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 57866 (MN)

Other Plastic Surgery providers in Minnesota →

Registry record

NPI: 1114332301
Entity type: Organization
NPI issued: 25 Jun 2014
Record last updated: 7 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.