CENTRAL MINNESOTA DERMATOLOGY, PA is a clinic center in Pine River, MN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CENTRAL MINNESOTA DERMATOLOGY, PA NPI is 1285220079. The provider is registered as an organization entity type.
The provider's business location address is:
415 BARCLAY AVE
PINE RIVER, MN
ZIP 56474-603
Phone: (218) 454-3376
Fax: (218) 454-4263
The provider's authorized official is Kristina Britton .
The authorized official title is President and has the following contact phone number (218) 831-8388.
The CLIA number assigned to this NPI record is 24D2222681 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 12/15/2020 and was last updated on 4/26/2021.