Organization
ALTAIRE CLINIC PLLC
Active
Other names
Laser Renewal PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
TAMRA A SCHUE FNP (OWNER)
(701) 388-6306
Entity
Organization
Contact information
Practice address
5257 27TH ST S STE 201, FARGO, ND 58104-7782
(701) 356-5503
Mailing address
5257 27TH ST S STE 201, FARGO, ND 58104-7782
(701) 356-5503
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
12/07/2021
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