Organization
ASSOCIATED SKIN CARE SPECIALISTS, PA
Active
Organization
ASSOCIATED SKIN CARE SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY M POGORELEC (BUSINESS OFFICE MANAGER)
(763) 502-2937
Entity
Organization
Contact information
Practice address
3833 COON RAPIDS BLVD NW STE 280, COON RAPIDS, MN 55433-2597
(763) 571-4000
(763) 502-2966
Mailing address
119 14TH ST NW STE 240, NEW BRIGHTON, MN 55112-0007
(763) 571-4000
(763) 502-2966
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/18/2006
Last updated
09/23/2020
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