Acne, Skin Disease & Leg Vein Clinic, PA
Acne, Skin Disease & Leg Vein Clinic, PA is a Dermatology Physician in Coon Rapids, Minnesota. Registered with an NPI since 2007.
- In the registry since
- 2007
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3960 Coon Rapids Blvd NW Ste 116Coon Rapids, MN 55433-2569
Phone: (763) 427-8113
Fax: (763) 427-8131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1417163189 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Theodore Buselmeier — President · (763) 427-8113 |
| NPI enumerated | May 16, 2007 |
| Last updated in NPPES | August 7, 2008 |
| Mailing address | 3960 Coon Rapids Blvd Nw, Suite 116, Coon Rapids, MN 55433-2569 |
Other providers in Coon Rapids
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Mr. Theodore Joseph Buselmeier, MD
3960 Coon Rapids Blvd NW Ste 116, Coon Rapids, MN 55433-2569 · (763) 427-8113