NPI 1922358514

Authentic Plastic Surgery, LLC

Organisation Plastic Surgery Physician Minnetonka, MN

Practice location

Address: 2000 Plymouth Road Suite 300, Minnetonka, MN 55305-2335
Phone: (612) 360-6466
Mailing address: 2000 Plymouth Road Suite 260, Minnetonka, MN 55305-2335

Authorised official

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

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Minnesota →

Registry record

NPI: 1922358514
Entity type: Organization
NPI issued: 12 Sep 2012
Record last updated: 12 Nov 2012

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.