Whalio Doctors

NPI 1629541172

Evolve Dermatology

Organisation Dermatology Physician Bismarck, ND

Practice location

Address
401 N 9th St, Bismarck, ND 58501-4530
Phone
(701) 712-4899
Fax
(701) 712-4225
Mailing address
1646 28th Ave. S. #10, Grand Forks, ND 58201

Authorised official

Name
Jennifer Tinkler
Title
Owner
Phone
(701) 740-0052

Registered specialties (2)

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

Registry record

NPI
1629541172
Entity type
Organization
NPI issued
8 Jan 2019
Record last updated
19 Nov 2019

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.