| Hometown Pediatric Dermatology Pllc | |
|
10 Charles Lake Rd North Oaks MN 55127-6227 | |
| (612) 234-2331 | |
| Not Available |
| Full Name | Hometown Pediatric Dermatology Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 10 Charles Lake Rd, North Oaks, Minnesota |
| Authorized Official Name and Position | Sarah Asch (OWNER) |
| Authorized Official Contact | 6122342331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Pediatric Dermatology Pllc 10 Charles Lake Rd North Oaks MN 55127-6227 Ph: () - | Hometown Pediatric Dermatology Pllc 10 Charles Lake Rd North Oaks MN 55127-6227 Ph: (612) 234-2331 |
| NPI Number | 1114671724 |
|---|---|
| Provider Enumeration Date | 02/11/2022 |
| Last Update Date | 02/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114671724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |