Dermatology Center For Children & Young Adults Pa

NPI 1053417055 - Dermatology - 207NP0225X

NPI Details
NPI 1053417055
Enumeration Date 09/16/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KENNETH E KENNETH
Position PRESIDENT
Phone (651) 379-9999
Fax (651) 379-9900
Practice Location
2795 PILOT KNOB RD
SUITE 300
EAGAN MN, 55121-1176, US
Phone (651) 379-9999
Fax (651) 379-9900
Business Location
2795 PILOT KNOB RD
SUITE 300
EAGAN MN, 55121-1176, US
Phone (651) 379-9999
Fax (651) 379-9900
Toxanomy
Taxonomy Code 207NP0225X
License State
License Number
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According to our database, Dermatology Center For Children & Young Adults Pa NPI is 1053417055, taxonomy code is 207NP0225X Dermatology Center For Children & Young Adults Pa physically located at 2795 Pilot Knob Rd, Eagan MN, 55121-1176. NPI Number 1033115704 has the healthcare provider type.

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1053417055 NPI number is provided on an as is basis without warranty of any kind. 1053417055 is maintained by the National Plan & Provider Enumeration System. The contents of Dermatology Center For Children & Young Adults Pa are for informational purposes only.