Organization · Type 2 NPI
Dermatology Professionals PA
Clinic/Center · St. Cloud, MN
NPI number
1720840788
Active
Practice location
1511 Northway Dr Ste 103
St. Cloud, MN 56303-1262
Fax (218) 454-0390
Mailing address
13359 Isle Dr Ste 3
Baxter, MN 56425-2223
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).
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About NPI 1720840788
Dermatology Professionals PA's National Provider Identifier is 1720840788, issued on Jan 25, 2024. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in St. Cloud, MN. The record was last updated on Jan 25, 2024.