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

Maple Grove Center for Restorative Surgery LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1144644717

Maple Grove Center for Restorative Surgery LLC is an Ambulatory Surgical Clinic/Center in Maple Grove, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.

Licensed in
MN
In the registry since
2014
Specialties on file
2
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

13601 80th Cir N Ste 100
Maple Grove, MN 55369
Phone: (763) 432-7655
Fax: (763) 432-7501
Show map & directions

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

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X
Ambulatory Surgical Clinic/Center Taxonomy 261QA1903X · Licence 679516700023 (MN)

Record details

NPI number1144644717
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Hanson — Medical Director · (651) 324-8693
NPI enumeratedFebruary 18, 2014
Last updated in NPPESDecember 19, 2019
Certification dateDecember 19, 2019
Mailing address13601 80th Circle North, Suite 100, Maple Grove, MN 55369

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