Organization
MITTAL DERMATOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT MITTAL (OWNER)
(630) 632-2648
Entity
Organization
Contact information
Practice address
15655 37TH AVE N STE 100, PLYMOUTH, MN 55446-4003
(630) 632-2648
Mailing address
15655 37TH AVE N STE 100, PLYMOUTH, MN 55446-4003
(630) 632-2648
(612) 230-8769
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
07/20/2023
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