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Contact Information

MOSAIC DERMATOLOGY PLLC
567 32ND AVE E STE 100
WEST FARGO, ND58078-8480
 Phone: 701-941-3100
 Fax: 701-941-3301
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for MOSAIC DERMATOLOGY PLLC

NPI # 1245051390
LBN Legal business name MOSAIC DERMATOLOGY PLLC
Authorized official JOANNE MONTGOMERY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/22/2024
Last updated 02/27/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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