Organization
ACNE, SKIN DISEASE & LEG VEIN CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE JOSEPH BUSELMEIER M.D. (PRESIDENT)
(763) 427-8113
Entity
Organization
Contact information
Practice address
3960 COON RAPIDS BLVD NW, SUITE 116, COON RAPIDS, MN 55433-2569
(763) 427-8113
(763) 427-8131
Mailing address
3960 COON RAPIDS BLVD NW, SUITE 116, COON RAPIDS, MN 55433-2569
(763) 427-8113
(763) 427-8131
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/16/2007
Last updated
08/07/2008
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