| NPI | 1730621244 |
|---|---|
| Doing Business As | DERMATOLOGY & CUTANEOUS SURGERY |
| Entity Type | Organization |
| Authorized Contact | CATHERINE ROGERS Senior Credentialing Coordinator 763-367-7110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2022-09-06 |