Organization
TWIN PORTS DERMATOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER SMITH PA (OWNER)
(218) 343-7452
Entity
Organization
Contact information
Practice address
1414 WOODLAND AVE, DULUTH, MN 55803-2624
(218) 343-7452
Mailing address
1414 WOODLAND AVE, DULUTH, MN 55803-2624
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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