| NPI | 1164930541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARETH PIERRE-LOUIS Incorporator 612-268-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 980103100020) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-04-03 |