RESOLUTE DERMATOLOGY NPI 1124624028

NPI Details

RESOLUTE DERMATOLOGY is a mohs-micrographic surgery dermatology in Shawnee, KS. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. RESOLUTE DERMATOLOGY NPI is 1124624028. The provider is registered as an organization entity type.

The provider's business location address is:

6800 HILLTOP RD STE 102
SHAWNEE, KS
ZIP 66226-571
Phone: (913) 901-5001

The provider's authorized official is Daniel L Christiansen .
The authorized official title is Sole Proprietor and has the following contact phone number (940) 923-9960.

The CLIA number assigned to this NPI record is 17D2302233 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/7/2020 and was last updated on 1/29/2021.

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: