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

Wayzata Orthopedic's PA

Organization Orthopaedic Surgery Physician · NPI 1164428223

Wayzata Orthopedic's PA is an Orthopaedic Surgery Physician in Plymouth, Minnesota. Licensed in Minnesota. Registered with an NPI since 2005.

Licensed in
MN
In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2805 Campus Dr Ste 425
Plymouth, MN 55441-2680
Phone: (763) 383-0770
Fax: (763) 383-0777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 22452 (MN)

Record details

NPI number1164428223
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Varecka — President · (763) 383-0770
NPI enumeratedJune 23, 2005
Last updated in NPPESOctober 23, 2008
Mailing address2805 Campus Drive, Ste 425, Plymouth, MN 55441-2616

Other providers in Plymouth