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

Individual provider Plastic Surgery Physician · NPI 1194869941

Dr. Ralph W Bashioum, MD is a Plastic Surgery Physician in Wayzata, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

445 Lake St E
Wayzata, MN 55391-1657
Phone: (952) 449-4900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 30397 (MN)

Record details

NPI number1194869941
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 16, 2007
Last updated in NPPESJuly 8, 2007

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