| NPI | 1962871608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REHANA LEILA AHMED-SAUCEDO Dermatologist, President 612-387-4627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 51837) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |