Organization
SP PLASTIC SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE LEE PENG MD (PRESIDENT)
(763) 999-4170
Entity
Organization
Contact information
Practice address
15450 HIGHWAY 7, STE 225, MINNETONKA, MN 55345-3522
(763) 999-4170
(763) 951-0941
Mailing address
15450 HIGHWAY 7, STE 225, MINNETONKA, MN 55345-3522
(763) 999-4170
(763) 951-0941
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
57866
MN
Other
Enumeration date
06/25/2014
Last updated
11/07/2022
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