Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Authentic Plastic Surgery, LLC

Organization Plastic Surgery Physician · NPI 1922358514

Authentic Plastic Surgery, LLC provides Plastic Surgery Physician services 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 Not confirmed with CMS for 13 years — call before visiting
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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