NPI | 1073287678 |
---|---|
Doing Business As | DAKOTA DERMATOLOGY AT SPIRIT LAKE |
Entity Type | Organization |
Authorized Contact | JAMESON COLIN MCGRANN Practice Manager 605-330-9619 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2021-08-06 |
Last Update Date | 2021-09-02 |