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Individual

KATHERINE WARD BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3930 NORTHWOODS DR, ARDEN HILLS, MN 55112-6963
(651) 523-8500
(651) 523-8584
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
(651) 523-8500
(952) 853-8727

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
58487
MN

Other

Enumeration date
03/31/2012
Last updated
04/02/2018
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