| Minnesota Skin Consultants, Llc | |
|
825 Nicollet Mall Suite 735 Minneapolis MN 55402-2606 | |
| (612) 216-1500 | |
| (612) 216-2089 |
| Full Name | Minnesota Skin Consultants, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 825 Nicollet Mall, Minneapolis, Minnesota |
| Authorized Official Name and Position | Mark Andrew Rawson (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6122161500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Skin Consultants, Llc 825 Nicollet Mall Suite 735 Minneapolis MN 55402-2606 Ph: (612) 216-1500 | Minnesota Skin Consultants, Llc 825 Nicollet Mall Suite 735 Minneapolis MN 55402-2606 Ph: (612) 216-1500 |
| NPI Number | 1154575140 |
|---|---|
| Provider Enumeration Date | 11/04/2008 |
| Last Update Date | 11/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154575140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 35804 (Minnesota) | Primary |
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