Organization · Type 2 NPI

Advanced Specialty Associates, Ltd

Facial Plastic Surgery Physician · Baxter, MN

NPI number 1265583652 Active

Practice location

13359 Isle Dr, Suite 1
Baxter, MN 56425-2221

Call (218) 454-8888 Map

Fax (888) 835-7231

Other practice locations

720 Main St Ste 209, Mendota Heights, MN 55118-1800 · (612) 464-5239

Specialties and licenses

Taxonomy	Code	License
Facial Plastic Surgery Physician Primary	207YS0123X	37843 (MN)

Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.

5 other providers at this address

NPI record

NPI: 1265583652
Entity type: Organization (Type 2)
Issued: Jan 15, 2007
Last updated: Sep 19, 2023
Status: Active

Other names

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Advanced Specialty Associates · doing business as
Kurtis A Waters MD PA · former legal business name

Authorized official

Dr. Kurtis Allen Waters, MD
Director
(218) 454-8888

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About NPI 1265583652

Advanced Specialty Associates, Ltd's National Provider Identifier is 1265583652, issued on Jan 15, 2007. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Baxter, MN. The record was last updated on Sep 19, 2023.