1. Home
  2. Directory
  3. North Dakota
  4. Grand Forks
  5. Plastic Surgery
  6. NPI Profile

MR. ANTHONY KEVIN MUIDERMAN MD
NPI 1003802430
Plastic Surgery in Grand Forks, ND

Active since September 21, 2005
3165 DEMERS AVE - TRUYU AESTHETIC CENTER, GRAND FORKS, ND 58201(701) 780-6623 Get Directions Write a Review

NPPES record last updated: February 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Anthony Kevin Muiderman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ANTHONY KEVIN MUIDERMAN MD (NPI 1003802430) is an individual plastic surgery provider in Grand Forks, North Dakota, licensed in North Dakota (10458) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1003802430
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameMR. ANTHONY KEVIN MUIDERMANCredential: MD
Location Address3165 DEMERS AVE - TRUYU AESTHETIC CENTERGrand Forks, ND 58201
Mailing Address2401 Demers AveGrand Forks, ND 58201 · (701) 780-1891 · Fax (701) 780-1942
Phone(701) 780-6623
Sole ProprietorNo
Enumeration DateSeptember 21, 2005
Last NPPES UpdateFebruary 26, 2019
✔ NPI 1003802430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in ND · 10458
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
3165 DEMERS AVE - TRUYU AESTHETIC CENTER, Grand Forks, ND 58201
Open in Google Maps ↗

Other Identifiers 1

Medicaid34199500WI

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KYLE MATTHEW ROCKERS MD
Dermatology
3165 DEMERS AVE - TRUYU AESTHETIC CENTER
GRAND FORKS, ND 58201
Grand Forks County (701) 780-6623
MRS. AMY LYNN KNUTSON SHIMEK FNP-C
Nurse Practitioner (Primary Care)
3165 DEMERS AVE - TRUYU AESTHETIC CENTER
GRAND FORKS, ND 58201
Grand Forks County (701) 780-6623
JARON HUDSON MCMULLIN MD
Plastic Surgery
3165 DEMERS AVE - TRUYU AESTHETIC CENTER
GRAND FORKS, ND 58201
Grand Forks County (701) 780-6623

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Muiderman's NPI number?

The NPI number for Anthony Muiderman is 1003802430. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Anthony Muiderman located?

Anthony Muiderman practices at 3165 Demers Ave - Truyu Aesthetic Center, Grand Forks, ND 58201. The listed phone number is (701) 780-6623.

What is Anthony Muiderman's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Anthony Muiderman was last updated on February 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.