| NPI | 1740532340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL A SHAH President 612-213-2370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2014-08-25 |