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Organization

SOUTHWEST DERMATOLOGY SPECIALISTS. LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID W GROTH M.D. (OWNER)
(612) 869-2086
Entity
Organization

Contact information

Practice address
6425 NICOLLET AVE, SUITE 202, RICHFIELD, MN 55423-1668
(612) 869-2086
(612) 869-4903
Mailing address
6425 NICOLLET AVE, SUITE 202, RICHFIELD, MN 55423-1668
(612) 869-2086
(612) 869-4903

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
03/14/2007
Last updated
08/22/2020
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