ACNE, SKIN DISEASE & LEG VEIN CLINIC, P.A.

COON RAPIDS, MN
NPI1417163189
Entity TypeOrganization
Authorized ContactTHEODORE JOSEPH BUSELMEIER
President
763-427-8113
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2007-05-16
Last Update Date2008-08-07
Business Address
ACNE, SKIN DISEASE & LEG VEIN CLINIC, P.A.
3960 COON RAPIDS BLVD NW SUITE 116
COON RAPIDS, MN 55433-2569
Phone number: 763-427-8113
Mailing Address
ACNE, SKIN DISEASE & LEG VEIN CLINIC, P.A.
3960 COON RAPIDS BLVD NW SUITE 116
COON RAPIDS, MN 55433-2569
Phone number: 763-427-8113
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THEODORE JOSEPH BUSELMEIER