Organization
PRAIRIE DERMATOLOGY PC
Active
Other names
Aberdeen Dermatology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TY HANSON D.O. (DERMATOLOGIST)
(605) 226-0560
Entity
Organization
Contact information
Practice address
3 LAFAYETTE ST S, ABERDEEN, SD 57401-5524
(605) 226-0560
(605) 226-1653
Mailing address
3 LAFAYETTE ST S, ABERDEEN, SD 57401-5524
(605) 226-0560
(605) 226-1653
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
7021
SD
Other
Enumeration date
07/19/2007
Last updated
08/17/2022
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