Statements: Skin Win Dermatology

Canonical ID: us-mednd-b5014a80c66cbc32d42fb23cbb00a4ea20d12368 · Entity type: LegalEntity (reference)

PropertyValueLangSource datasetSource IDFirst seen
LegalEntity:address1213 15th Ave W Suite 102 Williston, ND 58801engus_nd_med_exclusionsus-mednd-b5014a80c66cbc32d42fb23cbb00a4ea20d12368
LegalEntity:countryusengus_nd_med_exclusionsus-mednd-b5014a80c66cbc32d42fb23cbb00a4ea20d12368
LegalEntity:descriptionMedicaid Provider ID: 1484138engus_nd_med_exclusionsus-mednd-b5014a80c66cbc32d42fb23cbb00a4ea20d12368
LegalEntity:id9e5168252076f20c422a77fe1b3d09f6db2f9070engus_nd_med_exclusionsus-mednd-b5014a80c66cbc32d42fb23cbb00a4ea20d12368
LegalEntity:nameSkin Win Dermatologyengus_nd_med_exclusionsus-mednd-b5014a80c66cbc32d42fb23cbb00a4ea20d12368
LegalEntity:npiCode1992343198engus_nd_med_exclusionsus-mednd-b5014a80c66cbc32d42fb23cbb00a4ea20d12368
LegalEntity:sectorAmbulatory Health Care Facilityengus_nd_med_exclusionsus-mednd-b5014a80c66cbc32d42fb23cbb00a4ea20d12368
LegalEntity:topicsdebarmentengus_nd_med_exclusionsus-mednd-b5014a80c66cbc32d42fb23cbb00a4ea20d12368
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