Organization
SOUTHWEST DERMATOLOGY
Active
Parent organization
UNITED SKIN SPECIALISTS, LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNITED SKIN SPECIALISTS, LTD
Authorized official
BRIAN D ZELICKSON M.D (CEO)
(952) 929-8888
Entity
Organization
Contact information
Practice address
6425 NICOLLET AVENUE SOUTH, SUITE 202, RICHFIELD, MN 55423-1668
(612) 869-2086
(612) 869-4903
Mailing address
2 CARLSON PKWY N STE 240, PLYMOUTH, MN 55447-4485
(952) 929-8888
(952) 929-9669
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
—
—
Other
Enumeration date
11/17/2015
Last updated
01/25/2023
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