ADVANCED DERMATOLOGY CARE MEDICAL COSMETIC AND SURGERY PA
Organization (NPI-2)
Active
Dermatology
Provider Information
- NPI Number
1912158031- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 25 LAKE ST N SUITE 200, FOREST LAKE, MN, 550252535
- Phone
- (651) 484-2724
Specialties & Taxonomies
Dermatology
Primary License: MN #1376