Midwest Clinic of Dermatology Laser and Cosmetic Surgery PA
NPI #1811092398 in Saint Cloud, Minnesota
Provider Information
- NPI Number
- 1811092398
- Entity Type
- Organization
- Organization Name
- Midwest Clinic of Dermatology Laser and Cosmetic Surgery PA
- Primary Specialty
- Dermatology
- Enumeration Date
- Sep 13, 2006
- Last Updated
- Oct 2, 2014
Practice Location
- Address
- 1510 24TH AVE N
- City
- Saint Cloud
- State
- Minnesota
- ZIP Code
- 56303-1304
- Phone
- (320) 259-0208
Authorized Official
- Name
- DANIEL KEVIN ELIEFF, MD
- Title
- PRESIDENT/OWNER
- Phone
- (320) 259-0208
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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