Hometown Pediatric Dermatology Pllc | |
10 Charles Lake Rd North Oaks MN 55127-6227 | |
(612) 234-2331 | |
Not Available |
Full Name | Hometown Pediatric Dermatology Pllc |
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Speciality | Clinic/center |
Location | 10 Charles Lake Rd, North Oaks, Minnesota |
Authorized Official Name and Position | Sarah Asch (OWNER) |
Authorized Official Contact | 6122342331 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hometown Pediatric Dermatology Pllc 10 Charles Lake Rd North Oaks MN 55127-6227 Ph: () - | Hometown Pediatric Dermatology Pllc 10 Charles Lake Rd North Oaks MN 55127-6227 Ph: (612) 234-2331 |
NPI Number | 1114671724 |
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Provider Enumeration Date | 02/11/2022 |
Last Update Date | 02/11/2022 |
Identifier | Type | State | Issuer |
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1114671724 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |