Organization
ASSOCIATED SKIN CARE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ROY (BUSINESS OFFICE SUPERVISOR)
(763) 571-4000
Entity
Organization
Contact information
Practice address
7205 UNIVERSITY AVE NE, FRIDLEY, MN 55432-3134
(763) 571-4000
Mailing address
7205 UNIVERSITY AVE NE, FRIDLEY, MN 55432
(763) 571-4000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083659569
NPI
MN
Enumeration date
04/17/2017
Last updated
04/17/2017
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