ACADEMIC DERMATOLOGYPC NPI 1164662730

NPI Information

ACADEMIC DERMATOLOGY,PC is a specialist in Edina, MN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ACADEMIC DERMATOLOGY,PC NPI is 1164662730. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6545 FRANCE AVE S
SUITE 564
EDINA, MN
ZIP 55435-131
Phone: (952) 746-6090

The provider's authorized official is Whitney D Tope .
The authorized official title is Ceo and has the following contact phone number (952) 746-6090.

The enumeration date for this NPI number is 2/23/2009 and was last updated on 10/5/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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