Organization
DERMATOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTHUR W IDE III M.D. (OWNER)
(952) 374-5995
Entity
Organization
Contact information
Practice address
7300 FRANCE AVE SO, SUITE 400, EDINA, MN 55435-4544
(952) 374-5995
(952) 374-5997
Mailing address
7300 FRANCE AVE SO, SUITE 400, EDINA, MN 55435-4544
(952) 374-5995
(952) 374-5997
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/23/2006
Last updated
02/12/2013
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