Dermatology Center for Children & Young Adults PA
Dermatology Center for Children & Young Adults PA provides Pediatric Dermatology Physician services in Eagan, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.
- Licensed in
- MN
- In the registry since
- 2006
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2795 Pilot Knob Rd Ste 300Eagan, MN 55121-1176 Not confirmed with CMS for 18 years — call before visiting
Phone: (651) 379-9999
Fax: (651) 379-9900
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dermatology Physician (primary) | Taxonomy 207NP0225X (MN) |
|---|
Record details
| NPI number | 1053417055 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Bloom — President · (651) 379-9999 |
| NPI enumerated | September 16, 2006 |
| Last updated in NPPES | April 20, 2008 |
| Mailing address | 2795 Pilot Knob Rd, Suite 300, Eagan, MN 55121-1176 |