# CHASKA PLAZA SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Two Twelve Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083902423
- **Authorized official:** AARON JOHNSON (CEO)
- **Authorized official phone:** (952) 456-7300

## Contact information

- **Practice address:** 111 HUNDERTMARK RD, SUITE 340, CHASKA, MN 55318-4551
- **Practice address phone:** (952) 456-7900
- **Practice address fax:** (952) 456-7901
- **Mailing address:** 3500 AMERICAN BLVD W STE 300, BLOOMINGTON, MN 55431-4442
- **Mailing address phone:** (952) 456-7900
- **Mailing address fax:** (952) 456-7901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | PENDING | MN | Yes |

## Other

- **Enumeration date:** 07/19/2011
- **Last updated:** 04/26/2024