OrganizationActive
Aesthetic and Plastic Surgery, PA
NPI 1871704338 · Plastic and Reconstructive Surgery Physician · Maple Grove, MN
Provider details
- NPI number
- 1871704338
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Agnieszka Hatfield, Owner(763) 236-1900
- License
- 1585 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
12000 Elm Creek Blvd N Ste 301
Maple Grove, MN 55369-7090
Phone: (763) 200-6115
Fax: (763) 236-9010
Approximate (ZIP-level) locationGet directions
Mailing address
11850 Blackfoot St Nw Ste 130
Coon Rapids, MN 55433-2583
Registry dates
- Enumerated
- 2007-05-25
- Last updated
- 2026-02-26
- Certified
- 2026-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.