Organization
SOUTHWEST DERMATOLOGY
Active
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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