Organization
ACADEMIC DERMATOLOGY,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WHITNEY D TOPE M.D. (CEO)
(952) 746-6090
Entity
Organization
Contact information
Practice address
6545 FRANCE AVE S, SUITE 564, EDINA, MN 55435-2131
(952) 746-6090
Mailing address
6545 FRANCE AVE S, SUITE 564, EDINA, MN 55435-2100
(952) 746-6090
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
38930
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390822400
—
MN
Enumeration date
02/23/2009
Last updated
10/05/2016
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