Organization
MED SPA AT SKIN MPLS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA NOSAN (OWNER)
(612) 817-5090
Entity
Organization
Contact information
Practice address
5100 EDINA INDUSTRIAL BLVD STE 238, EDINA, MN 55439-3003
(612) 817-5090
Mailing address
5100 EDINA INDUSTRIAL BLVD STE 238, EDINA, MN 55439-3003
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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