Dermatology Center for Children & Young Adults PA
NPI #1053417055 in Eagan, Minnesota
Provider Information
- NPI Number
- 1053417055
- Entity Type
- Organization
- Organization Name
- Dermatology Center for Children & Young Adults PA
- Primary Specialty
- Dermatology - Pediatric Dermatology
- Enumeration Date
- Sep 16, 2006
- Last Updated
- Apr 20, 2008
Practice Location
Authorized Official
- Name
- KENNETH E BLOOM, MD
- Title
- PRESIDENT
- Phone
- (651) 379-9999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - Pediatric Dermatology — Pediatric Dermatology |
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