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

Minneapolis Plastic Surgery Ltd

Organization Plastic and Reconstructive Surgery Physician · NPI 1730156274

Minneapolis Plastic Surgery Ltd is a Plastic and Reconstructive Surgery Physician in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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

4825 Olson Memorial Hwy #200
Minneapolis, MN 55422
Phone: (763) 545-0443
Fax: (763) 545-2784
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 788 (MN)

Record details

NPI number1730156274
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Tholen — President · (763) 545-0443
NPI enumeratedMarch 3, 2006
Last updated in NPPESAugust 22, 2020
Mailing address4825 Olson Memorial Hwy, 200, Minneapolis, MN 55422

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