Organization
PINNACLE DERMATOLOGY, SC
Active
Parent organization
PINNACLE DERMATOLOGY, SC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINNACLE DERMATOLOGY, SC
Authorized official
PAULA LAPINSKI M.D. (PRESIDENT)
(815) 744-8554
Entity
Organization
Contact information
Practice address
3655 PLYMOUTH BLVD, SUITE 110, PLYMOUTH, MN 55446-3664
(612) 486-4200
(612) 486-4201
Mailing address
5141 VIRGINIA WAY, STE 350, BRENTWOOD, TN 37027
(629) 666-2462
(629) 666-2462
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059266800
—
MN
Enumeration date
08/28/2009
Last updated
09/02/2021
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