Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Authentic Plastic Surgery, LLC

Organization Plastic Surgery Physician · NPI 1922358514

Authentic Plastic Surgery, LLC is a Plastic Surgery Physician in Minnetonka, Minnesota. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2000 Plymouth Rd Ste 300
Minnetonka, MN 55305-2335
Phone: (612) 360-6466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1922358514
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pawel Stachowicz — Md · (612) 360-6466
NPI enumeratedSeptember 12, 2012
Last updated in NPPESNovember 12, 2012
Mailing address2000 Plymouth Road, Suite 260, Minnetonka, MN 55305-2335

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