Organization
MOSAIC DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE MONTGOMERY MD (OWNER)
(312) 415-8615
Entity
Organization
Contact information
Practice address
567 32ND AVE E STE 100, WEST FARGO, ND 58078-8480
(701) 941-3100
(701) 941-3301
Mailing address
567 32ND AVE E STE 100, WEST FARGO, ND 58078-8480
(701) 941-3100
(701) 941-3301
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
02/27/2025
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