NPI 1205868619
Uptown Dermatology & Skin Spa, P.A.
Practice location
- Address
- 1221 W Lake St Suite 208, Minneapolis, MN 55408-3397
- Phone
- (612) 455-3200
Authorised official
- Name
- Jaime Davis
- Title
- Owner
- Phone
- (612) 455-3200
Registered specialties
Dermatology Physician
Primary
Registry record
- NPI
- 1205868619
- Entity type
- Organization
- NPI issued
- 7 Jul 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.