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Central Minnesota Dermatology, Pa
Clinic/Center in Pine River, Minnesota
NPI 1285220079

Central Minnesota Dermatology, Pa is a Clinic/Center based in Brainerd, MN. Central Minnesota Dermatology, Pa practices in Pine River, MN. The NPI Number for Central Minnesota Dermatology, Pa is 1285220079 and holds a License No. (Minnesota).

The current practice location address for Central Minnesota Dermatology, Pa is 415 Barclay Ave, Pine River, MN and can be reached out via phone at 218-454-3376 and via fax at 218-454-4263.

Location: 415 Barclay Ave, Pine River, MN, 56401-4599
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285220079
Provider Name
Central Minnesota Dermatology, Pa
Credential
Provider Entity Type
Organization
Address
415 Barclay Ave, Pine River, MN, 56401-4599
Phone Number
218-454-3376
Fax Number
218-454-4263
Provider Enumeration Date
12/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
415 Barclay Ave
City
Pine River
State
Minnesota
Zip
56474-1603
Phone Number
218-454-3376
Fax Number
218-454-4263
person
Provider Business Mailing Address Details
Address
415 Barclay Ave
City
Pine River
State
Minnesota
Zip
56474-1603
Phone Number
218-454-3376
Fax Number
218-454-4263
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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