Bashioum Cosmetic Surgery Center, Ltd.

NPI #1104252022 in Wayzata, Minnesota

Provider Information

NPI Number: 1104252022
Entity Type: Organization
Organization Name: Bashioum Cosmetic Surgery Center, Ltd.
Primary Specialty: Plastic Surgery
Enumeration Date: Sep 24, 2013
Last Updated: Jan 16, 2014

Practice Location

Address: 445 LAKE ST E STE 210
City: Wayzata
State: Minnesota
ZIP Code: 55391-1671
Phone: (952) 449-4900

Authorized Official

Name: DR. RALPH W BASHIOUM, MD
Title: PRESIDENT
Phone: (952) 449-4900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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Individual Providers

Provider Name	Specialty	City
DR. Ralph W Bashioum, M.D.	Plastic Surgery	Wayzata	AI Deep Dive
DR. Peter Andrew Vogt, M.D.	Plastic Surgery	Wayzata	AI Deep Dive
Miles Bichanich, MD	Plastic Surgery	Wayzata	AI Deep Dive

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Omni Facial Plastic Surgery	Plastic Surgery	Wayzata	AI Deep Dive
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