Individual
DR. MICHAEL P SKADRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4103 E LAKE ST, MINNEAPOLIS, MN 55406-2259
(612) 721-2424
Mailing address
4103 E LAKE ST, MINNEAPOLIS, MN 55406-2259
(612) 721-2424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10636
MN
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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