OrganizationActive
Advanced Specialty Associates, Ltd
NPI 1265583652 · Facial Plastic Surgery Physician · Baxter, MN
Provider details
- NPI number
- 1265583652
- Entity type
- Organization
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Kurtis Waters, Director
- License
- 37843 (MN)
Practice location
13359 Isle Dr
Suite 1
Baxter, MN 56425-2221
Phone: (218) 454-8888
Fax: (888) 835-7231
Mailing address
13359 Isle Dr
Baxter, MN 56425-2221
Registry dates
- Enumerated
- 2007-01-15
- Last updated
- 2023-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.