Pawel P Stachowicz, M.D.
Plastic Surgery in Minneapolis, MN. Individual provider (NPI-1).
NPI number1699862490
StatusActive
Last updated in NPPESFeb 4, 2022
Details
- NPI
- 1699862490
- Entity type
- Individual (NPI-1)
- Name
- Pawel P Stachowicz
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2006
- Certification date
- Feb 4, 2022
- Last updated
- Feb 4, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | 39698 | MN | Yes |
Practice location
3005 Knox Ave SMinneapolis, MN 55408-2542
Phone 612-770-1995
Mailing address
2000 Plymouth RdSuite #260
Minnetonka, MN 55305-2366
Phone 612-360-6466
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