NPI | 1972172328 |
---|---|
Doing Business As | GUARDIAN DERMATOLOGY, PC |
Entity Type | Organization |
Authorized Contact | LOGAN M SKELLEY Member 507-327-1955 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
Enumeration Date | 2021-06-21 |
Last Update Date | 2021-08-03 |