Individual
PAWEL P STACHOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3005 KNOX AVE S, MINNEAPOLIS, MN 55408-2542
(612) 770-1995
Mailing address
2000 PLYMOUTH RD, SUITE #260, MINNETONKA, MN 55305-2366
(612) 360-6466
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
39698
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3843254000
—
MN
Enumeration date
10/05/2006
Last updated
02/04/2022
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