| NPI | 1225482839 |
|---|---|
| Doing Business As | LASER & DERMATOLOGIC SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | CATHERINE ROGERS Senior Credentialing Coordinator 763-367-7110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2022-09-06 |