Prairie Dermatology PC
NPI #1164622098 in Aberdeen, South Dakota
Provider Information
- NPI Number
- 1164622098
- Entity Type
- Organization
- Organization Name
- Prairie Dermatology PC
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Jul 19, 2007
- Last Updated
- Aug 17, 2022
Practice Location
- Address
- 3 LAFAYETTE ST S
- City
- Aberdeen
- State
- South Dakota
- ZIP Code
- 57401-5524
- Phone
- (605) 226-0560
Authorized Official
- Name
- DR. TY HANSON, D.O.
- Title
- DERMATOLOGIST
- Phone
- (605) 226-0560
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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