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

Bashioum Cosmetic Surgery Center, Ltd

Organization Plastic Surgery Physician · NPI 1104252022

Bashioum Cosmetic Surgery Center, Ltd is a Plastic Surgery Physician in Wayzata, Minnesota. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

445 Lake St E Ste 210
Wayzata, MN 55391-1671
Phone: (952) 449-4900
Fax: (952) 449-9531
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1104252022
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ralph Bashioum — President · (952) 449-4900
NPI enumeratedSeptember 24, 2013
Last updated in NPPESJanuary 16, 2014
Mailing address2854 Highway 55, Suite 130, Eagan, MN 55121-2156

Other providers in Wayzata