MIDWEST CLINIC OF DERMATOLOGY LASER AND COSMETIC SURGERY PA

SAINT CLOUD, MN
NPI1811092398
Entity TypeOrganization
Authorized ContactDANIEL KEVIN ELIEFF
President/Owner
320-259-0208
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2006-09-13
Last Update Date2014-10-02
Business Address
MIDWEST CLINIC OF DERMATOLOGY LASER AND COSMETIC SURGERY PA
1510 24TH AVE N
SAINT CLOUD, MN 56303-1304
Phone number: 320-259-0208
Mailing Address
MIDWEST CLINIC OF DERMATOLOGY LASER AND COSMETIC SURGERY PA
1510 24TH AVE N
SAINT CLOUD, MN 56303-1304
Phone number: 320-259-0208