NPI 1720574445

Echelon Surgical Specialists LLC

Organisation Plastic Surgery Physician Minnetonka, MN

Practice location

Address: 15450 Highway 7 STE 225, Minnetonka, MN 55345-3522
Phone: (507) 383-3134
Mailing address: 12300 168th St W, Lakeville, MN 55044-9224

Authorised official

Name: Matthew Carroll Camp
Title: Ceo
Phone: (507) 383-3134

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 54799 (MN)

Other Plastic Surgery providers in Minnesota →

Registry record

NPI: 1720574445
Entity type: Organization
NPI issued: 5 Jul 2018
Record last updated: 2 Oct 2018

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.