| NPI | 1407632250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM SWIGOST Dermatologist 701-425-2973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2024-06-27 |