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
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None 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.