Individual
MR. IAN THOMAS SKARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP, PMHNP
Contact information
Practice address
13603 80TH CIR N, MAPLE GROVE, MN 55369-8961
(763) 274-3120
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP 4708
MN
Other
Enumeration date
08/03/2016
Last updated
08/25/2016
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