Lake Area Dermatology PA
NPI #1710270921 in Vadnais Heights, Minnesota
Provider Information
- NPI Number
- 1710270921
- Entity Type
- Organization
- Organization Name
- Lake Area Dermatology PA
- Primary Specialty
- Dermatology
- Enumeration Date
- May 20, 2011
- Last Updated
- Jun 3, 2011
Practice Location
- Address
- 3640 TALMAGE CIR
- Address 2
- SUITE 216
- City
- Vadnais Heights
- State
- Minnesota
- ZIP Code
- 55110-4183
- Phone
- (651) 224-4930
Authorized Official
- Name
- TRACY FUCHS GANNON, M.D.
- Title
- PRESIDENT / OWNER
- Phone
- (651) 224-4930
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
Similar Providers
| Provider Name | |
|---|---|
| DR. Margaret A Collins, M.D. | |
| Bethany Ann Cook Grothe, M.D. | |
| Tracy Fuchs Gannon, MD | |
| DR. Emil D. Koretzky, MD | |
| DR. Brian Gerard Zogg, MD |
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