Organization
COLE DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI COLE MD (PRESIDENT)
(507) 645-2212
Entity
Organization
Contact information
Practice address
710 DIVISION ST S, NORTHFIELD, MN 55057-2468
(507) 645-2212
(507) 645-0616
Mailing address
PO BOX 99, NORTHFIELD, MN 55057-0099
(507) 645-2212
(507) 645-0616
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2871806
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112904
GROUP HEALTH
MN
01
—
24T70CO
BLUE CROSS
MN
01
—
989381012966
PREFERRED ONE COMM
MN
01
—
D367
UCARE
MN
Enumeration date
04/20/2006
Last updated
08/22/2020
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