Organization
PARKINSON DERMATOLOGY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE E PARKINSON MD (PRESIDENT)
(715) 635-3766
Entity
Organization
Contact information
Practice address
114 TIMBERLANE RD, SPOONER, WI 54801-9687
(715) 635-3766
(715) 635-3711
Mailing address
114 TIMBERLANE RD, SPOONER, WI 54801-9687
(715) 635-3766
(715) 635-3711
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
36649020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32487000
—
WI
Enumeration date
11/22/2006
Last updated
08/08/2007
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