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Individual

DR. KARL VANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1356 LUSITANA ST FL 7, HONOLULU, HI 96813-2421
(808) 586-2910
Mailing address
2 CARLSON PKWY N, STE 240, PLYMOUTH, MN 55447-4485
(763) 746-0030
(763) 367-7977

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
56445
MN
207NS0135X
Procedural Dermatology Physician
56445
MN

Other

Enumeration date
06/08/2009
Last updated
10/31/2018
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