Bashioum Cosmetic Surgery Center, LTD.
Organization Active NPI Plastic Surgery Physician · Wayzata, MN
NPI 1104252022 · NPPES record last updated Jan 16, 2014
Key facts
- NPI
- 1104252022
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Plastic Surgery Physician 208200000X
- Legal business name
- BASHIOUM COSMETIC SURGERY CENTER, LTD.
- Practice address
- 445 Lake St E Ste 210
Wayzata, MN 55391-1671 - Phone
- (952) 449-4900
- Fax
- (952) 449-9531
- NPI assigned
- Sep 24, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Ralph W Bashioum, MD
- Title
- President
- Phone
- (952) 449-4900
National Provider Directory
Locations
445 Lake St E
Ste 210
Wayzata, MN 55391
Phone (952) 449-4900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician |
208200000X | Yes |
Addresses
Primary practice location
445 Lake St E Ste 210
Wayzata, MN 55391-1671
Mailing address
2854 Highway 55
Suite 130
Eagan, MN 55121-2156
Phone (952) 449-4900
Other providers in Wayzata, MN
- Avid Health and Wellness Chiropractic
- Dana Theresa Bageon
- Andrea Barnes
- Cynthia Barnett
- Luqman Barre
- Ralph W Bashioum
- Basic Home Care
- Basic Home Care
- Bryce Mershon Beamish
- John Michael Patrick Bearg
All providers in Wayzata, MN · Plastic Surgery Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.