# PLASTIC SURGERY CONSULTANTS, LTD.

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

## Provider details

- **NPI number:** 1801055066
- **Authorized official:** JANE SUPER (CLINIC ADMINISTRATOR)
- **Authorized official phone:** (952) 746-6767

## Contact information

- **Practice address:** 3300 EDINBOROUGH WAY, SUITE 505, EDINA, MN 55435-5923
- **Practice address phone:** (952) 746-6767
- **Practice address fax:** (952) 746-6768
- **Mailing address:** 3300 EDINBOROUGH WAY, SUITE 505, EDINA, MN 55435-5923
- **Mailing address phone:** (952) 746-6767
- **Mailing address fax:** (952) 746-6768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/03/2008
- **Last updated:** 06/03/2008
