Larisa Sotinsky Speetzen in St Louis Park - Dermatology
Larisa Sotinsky Speetzen - NPI 1215199963
Larisa Sotinsky Speetzen is a Dermatology in St Louis Park, Minnesota. Larisa Sotinsky Speetzen practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Larisa Sotinsky Speetzen is 1215199963. The last update date is 2012-08-21.
Larisa Sotinsky Speetzen's current location address is 3800 Park Nicollet Blvd, St Louis Park, Minnesota. You can contact this provider via phone number 9529931000. The mailing address for Larisa Sotinsky Speetzen is 3800 Park Nicollet Blvd, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larisa Sotinsky Speetzen |
|---|---|
| Address | 3800 Park Nicollet Blvd, St Louis Park, Minnesota |
| Phone Number | 9529931000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1215199963 |
|---|---|
| Provider Enumeration Date | 2008-06-25 |
| Last Updated Date | 2012-08-21 |
Provider Mailing Address Detail
| Address | 3800 Park Nicollet Blvd |
|---|---|
| City | St Louis Park |
| State | Minnesota (MN) |
| Post Code | 554162527 |
| Phone Number | 9529931000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 42182 |
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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 |
|---|---|---|---|
| 450641 | AZ | -- |
Post Comment/ Review Below
What is the Larisa Sotinsky Speetzen's unique identification number?
The Larisa Sotinsky Speetzen has been assigned the NPI (National Provider Identifier) Number 1215199963 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Larisa Sotinsky Speetzen's facilities are situated?
The facilities of Larisa Sotinsky Speetzen are physically located at the following address: 3800 Park Nicollet Blvd, St Louis Park, MN, 554162527.
What is the Larisa Sotinsky Speetzen's specialty and taxonomy code?
The Larisa Sotinsky Speetzen's specialty is Dermatology, and the corresponding taxonomy code is 207N00000X.
On what date did Larisa Sotinsky Speetzen receive its 1215199963 assignment from the Centers for Medicare & Medicaid Services?
The Larisa Sotinsky Speetzen was assigned its 1215199963 on 2008-06-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Larisa Sotinsky Speetzen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Larisa Sotinsky Speetzen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-08-21.