NPI 1629442538

Skin Specialists

Organisation Procedural Dermatology Physician Minneapolis, MN

Practice location

Address: 825 Nicollet Mall Suite 1002, Minneapolis, MN 55402-2614
Phone: (612) 338-0711
Fax: (612) 332-3663
Mailing address: 2 Carlson Parkway North Suite 240, Plymouth, MN 55447-4485

Authorised official

Name: Brian D Zelickson
Title: Ceo
Phone: (952) 929-8888

Registered specialties

Procedural Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207NS0135X

Other Dermatology providers in Minnesota →

Registry record

NPI: 1629442538
Entity type: Organization
NPI issued: 17 Nov 2015
Record last updated: 2 Sep 2016

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.