| NPI | 1407912389 |
|---|---|
| Doing Business As | MIDWEST DERMATOLOTY |
| Entity Type | Organization |
| Authorized Contact | ANNETTE L SELVIG Business Office 763-545-8614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 23247) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |