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

Wayzata Surgery Center

Organization Facial Plastic Surgery Physician · NPI 1043812787

Wayzata Surgery Center is a Facial Plastic Surgery Physician in Wayzata, Minnesota. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3

Practice location Address checks out

935 Wayzata Blvd E Ste 200
Wayzata, MN 55391-2513
Phone: (763) 559-4500
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
Facial Plastic Surgery Physician Taxonomy 207YS0123X
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X

Record details

NPI number1043812787
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOmni Medical Center PLLC
Authorized official John Ness — President · (763) 559-4500
NPI enumeratedNovember 9, 2020
Last updated in NPPESNovember 9, 2020
Certification dateNovember 6, 2020
Mailing address935 Wayzata Blvd E Ste 200, Wayzata, MN 55391-2513