Organization
AESTHETIC AND PLASTIC SURGERY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AGNIESZKA S HATFIELD (OWNER)
(763) 236-1900
Entity
Organization
Contact information
Practice address
12000 ELM CREEK BLVD N STE 301, MAPLE GROVE, MN 55369-7090
(763) 200-6115
(763) 236-9010
Mailing address
11850 BLACKFOOT ST NW STE 130, COON RAPIDS, MN 55433-2583
(763) 236-1900
(763) 236-9010
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
1585
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1300140
MEDICA
—
01
—
131146
UCARE
—
01
—
131M0HA
BCBS
MN
05
—
180700500
—
MN
01
—
92321
HLTH PART
—
Enumeration date
05/25/2007
Last updated
02/26/2026
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