Organization · Type 2 NPI
Forest Lake Skin and Vein Clinic
Primary Care Clinic/Center · Forest Lake, MN
NPI number
1013153907
Active
Practice location
280 12th St SW, Suite A
Forest Lake, MN 55025-3778
Fax (651) 464-7969
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
About NPI 1013153907
Forest Lake Skin and Vein Clinic's National Provider Identifier is 1013153907, issued on Dec 23, 2008. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Forest Lake, MN. The record was last updated on Dec 23, 2008.