Organization
KASS CLINICS, LLC
Active
Other names
Center for Electrolysis Skin & Laser Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDNEY W KASS MD (OWNER)
(952) 926-3311
Entity
Organization
Contact information
Practice address
7104 W LAKE ST, SUITE 100, ST LOUIS PARK, MN 55426-4417
(952) 926-3311
(952) 922-4492
Mailing address
2721 GLENHURST AVE, ST LOUIS PARK, MN 55416-3909
(952) 926-3311
(952) 922-4492
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33397
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33G01TW
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/12/2006
Last updated
11/15/2012
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