Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Midwest Clinic of Dermatology Laser and Cosmetic Surgery PA

Organization Dermatology Physician · NPI 1811092398

Midwest Clinic of Dermatology Laser and Cosmetic Surgery PA is a Dermatology Physician in Saint Cloud, Minnesota. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1510 24th Ave N
Saint Cloud, MN 56303-1304
Phone: (320) 259-0208
Fax: (320) 259-0715
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1811092398
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Elieff — President/Owner · (320) 259-0208
NPI enumeratedSeptember 13, 2006
Last updated in NPPESOctober 2, 2014
Mailing address1510 24th Ave N, Saint Cloud, MN 56303-1304

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