Organization · Type 2 NPI

Hometown Pediatric Dermatology PLLC

Clinic/Center · North Oaks, MN

NPI number 1114671724 Active

Practice location

10 Charles Lake Rd
North Oaks, MN 55127-6227

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Another provider at this address

About NPI 1114671724

Hometown Pediatric Dermatology PLLC's National Provider Identifier is 1114671724, issued on Feb 11, 2022. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in North Oaks, MN. The record was last updated on Feb 11, 2022.