Organization
HOMETOWN PEDIATRIC DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH ASCH (OWNER)
(612) 234-2331
Entity
Organization
Contact information
Practice address
10 CHARLES LAKE RD, NORTH OAKS, MN 55127-6227
(612) 234-2331
Mailing address
10 CHARLES LAKE RD, NORTH OAKS, MN 55127-6227
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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