Organization
TAREEN DERMATOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHIBA K TAREEN MD (OWNER)
(651) 633-6883
Entity
Organization
Contact information
Practice address
1185 TOWN CENTRE DR STE 101, EAGAN, MN 55123-1188
(651) 633-6883
(651) 528-6276
Mailing address
2720 FAIRVIEW AVE N STE 200, ROSEVILLE, MN 55113-1306
(651) 633-6883
(651) 528-6276
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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