Organization
SKINSPEAKS: ADVANCEMENTS IN DERMATOLOGY AND SPA M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA SWENSON (OPERATIONS MANAGER)
(763) 231-8710
Entity
Organization
Contact information
Practice address
7373 FRANCE AVE S STE 110, EDINA, MN 55435
(763) 231-8700
(763) 231-8711
Mailing address
7373 FRANCE AVE S STE 110, EDINA, MN 55435-4538
(763) 231-8700
(763) 231-8711
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116815
UCARE
MN
01
—
34204CA
BCBS
MN
Enumeration date
07/02/2006
Last updated
05/31/2018
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