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Individual

DR. ARTHUR W IDE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7300 FRANCE AVE SO, SUITE 400, EDINA, MN 55435-4544
(952) 374-5995
(952) 374-5997
Mailing address
7300 FRANCE AVE SO, SUITE 400, EDINA, MN 55435-4544
(952) 374-5995
(952) 374-5997

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
32318
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
893565300
MN
Enumeration date
03/23/2006
Last updated
02/12/2013
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