Individual
LAURA MICHELLE REZAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2720 FAIRVIEW AVE N, ROSEVILLE, MN 55113-1306
(651) 634-1410
(651) 689-8340
Mailing address
2720 FAIRVIEW AVE N STE 200, ROSEVILLE, MN 55113-1306
(651) 633-6883
(651) 331-3459
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
79542
MN
207ND0101X
MOHS-Micrographic Surgery Physician
85912-20
WI
Other
Enumeration date
04/15/2020
Last updated
12/10/2025
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