SOUTHWEST DERMATOLOGY

RICHFIELD, MN
NPI1518331420
Entity TypeOrganization
Authorized ContactBRIAN D ZELICKSON
CEO
952-929-8888
Organization Subpart ?Yes
Primary Taxonomy207NS0135X Dermatology, Procedural Dermatology
Enumeration Date2015-11-17
Last Update Date2023-01-25
Business Address
SOUTHWEST DERMATOLOGY
6425 NICOLLET AVENUE SOUTH SUITE 202
RICHFIELD, MN 55423-1668
Phone number: 612-869-2086
Mailing Address
SOUTHWEST DERMATOLOGY
2 CARLSON PKWY N STE 240
PLYMOUTH, MN 55447-4485
Phone number: 952-929-8888
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