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

Bashioum Cosmetic Surgery Center, Ltd

Organization Plastic Surgery Physician · NPI 1104252022

Bashioum Cosmetic Surgery Center, Ltd provides Plastic Surgery Physician services in Wayzata, Minnesota. Registered with an NPI since 2013.

In the registry since
2013
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

445 Lake St E Ste 210
Wayzata, MN 55391-1671 Not confirmed with CMS for 12 years — call before visiting
Phone: (952) 449-4900
Fax: (952) 449-9531
Show map & directions

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

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1104252022
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ralph Bashioum — President · (952) 449-4900
NPI enumeratedSeptember 24, 2013
Last updated in NPPESJanuary 16, 2014
Mailing address2854 Highway 55, Suite 130, Eagan, MN 55121-2156

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