Organization
TAREEN DERMATOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHIBA K TAREEN MD (OWNER)
(651) 633-6883
Entity
Organization
Contact information
Practice address
2945 HAZELWOOD ST STE 230, MAPLEWOOD, MN 55109-1241
(651) 633-6883
(651) 528-6276
Mailing address
1835 COUNTY ROAD C W STE 250, ROSEVILLE, MN 55113-1311
(651) 251-3300
(651) 528-6276
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
02/07/2019
Last updated
03/25/2019
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