Hometown Pediatric Dermatology Pllc
NPI #1114671724 in North Oaks, Minnesota
Provider Information
- NPI Number
- 1114671724
- Entity Type
- Organization
- Organization Name
- Hometown Pediatric Dermatology Pllc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Feb 11, 2022
- Last Updated
- Feb 11, 2022
Practice Location
- Address
- 10 CHARLES LAKE RD
- City
- North Oaks
- State
- Minnesota
- ZIP Code
- 55127-6227
- Phone
- (612) 234-2331
Authorized Official
- Name
- SARAH ASCH
- Title
- OWNER
- Phone
- (612) 234-2331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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