Individual
ANDREA LANGEVELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-7580
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
(651) 254-7580
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
62827
MN
Other
Enumeration date
04/13/2016
Last updated
07/21/2022
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