| Lakewood Dermatology | |
|
161 19th St S Ste 106 Sartell MN 56377 | |
| (320) 252-3376 | |
| (218) 898-7597 |
| Full Name | Lakewood Dermatology |
|---|---|
| Speciality | Clinic/center |
| Location | 161 19th St S Ste 106, Sartell, Minnesota |
| Authorized Official Name and Position | Craig T Wolhowe (VICE PRESIDENT) |
| Authorized Official Contact | 2188948600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Dermatology 49725 County 83 Staples MN 56479-5280 Ph: (218) 894-1515 | Lakewood Dermatology 161 19th St S Ste 106 Sartell MN 56377 Ph: (320) 252-3376 |
| NPI Number | 1669759866 |
|---|---|
| Provider Enumeration Date | 11/16/2011 |
| Last Update Date | 06/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669759866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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