NPI 1245051390

Mosaic Dermatology PLLC

Organisation Dermatology Physician West Fargo, ND

Practice location

Address: 567 32nd Ave E STE 100, West Fargo, ND 58078-8480
Phone: (701) 941-3100
Fax: (701) 941-3301

Authorised official

Name: Joanne Montgomery
Title: Owner
Phone: (312) 415-8615

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in North Dakota →

Registry record

NPI: 1245051390
Entity type: Organization
NPI issued: 22 Oct 2024
Record last updated: 27 Feb 2025

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.