Organization
ADVANCED DERMATOLOGY & COSMETIC INSTITUTE P.A.
Active
Organization
ADVANCED DERMATOLOGY & COSMETIC INSTITUTE P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE ELIZABETH BRIDEN MD (CEO/MEDICAL DIRECTOR)
(952) 915-6000
Entity
Organization
Contact information
Practice address
6525 BARRIE RD, EDINA, MN 55435-2305
(952) 915-6000
(952) 915-6100
Mailing address
6525 BARRIE RD, EDINA, MN 55435-2305
(952) 915-6000
(952) 915-6100
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MN28680
MN
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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