Kathleen Maccarthy Demanivel in Maple Grove - Dermatology
Kathleen Maccarthy Demanivel - NPI 1477543957
Kathleen Maccarthy Demanivel is a Dermatology in Maple Grove, Minnesota. Kathleen Maccarthy Demanivel practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Kathleen Maccarthy Demanivel is 1477543957. The last update date is 2012-08-13.
Kathleen Maccarthy Demanivel's current location address is 14500 99th Ave N, Maple Grove, Minnesota. You can contact this provider via phone number 7638981000. The mailing address for Kathleen Maccarthy Demanivel is 14500 99th Ave N, Maple Grove, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen Maccarthy Demanivel |
|---|---|
| Address | 14500 99th Ave N, Maple Grove, Minnesota |
| Phone Number | 7638981000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1477543957 |
|---|---|
| Provider Enumeration Date | 2005-10-25 |
| Last Updated Date | 2012-08-13 |
Provider Mailing Address Detail
| Address | 14500 99th Ave N |
|---|---|
| City | Maple Grove |
| State | Minnesota (MN) |
| Post Code | 553694478 |
| Phone Number | 7638981000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 31117 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 550507100 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kathleen Maccarthy Demanivel by the Centers for Medicare & Medicaid Services (CMS)?
The Kathleen Maccarthy Demanivel has been assigned the NPI (National Provider Identifier) 1477543957. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Kathleen Maccarthy Demanivel is located?
The Kathleen Maccarthy Demanivel is situated at the following address: 14500 99Th Ave N, Maple Grove, MN, 553694478.
What is Kathleen Maccarthy Demanivel's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kathleen Maccarthy Demanivel's area of specialization is Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1477543957 to Kathleen Maccarthy Demanivel?
The Centers for Medicare & Medicaid Services assigned the 1477543957 to Kathleen Maccarthy Demanivel on 2005-10-25.
When was the Kathleen Maccarthy Demanivel's information last updated?
The Kathleen Maccarthy Demanivel's information was last updated on 2012-08-13.