# WAYZATA ORTHOPEDIC'S P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164428223
- **Authorized official:** MR. THOMAS F. VARECKA M.D. (PRESIDENT)
- **Authorized official phone:** (763) 383-0770

## Contact information

- **Practice address:** 2805 CAMPUS DR, STE 425, PLYMOUTH, MN 55441-2680
- **Practice address phone:** (763) 383-0770
- **Practice address fax:** (763) 383-0777
- **Mailing address:** 2805 CAMPUS DRIVE, STE 425, PLYMOUTH, MN 55441-2616
- **Mailing address phone:** (763) 383-0770
- **Mailing address fax:** (763) 383-0777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 22452 | MN | Yes |

## Other

- **Enumeration date:** 06/23/2005
- **Last updated:** 10/23/2008