Ecker Dermatology Pa

LBN: Ecker Dermatology Pa
Ecker Dermatology Pa is an health care organization with primary practice located at 1905 Wayzata Blvd Ste 240 , Wayzata MN 55391-5006. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Ecker Dermatology Pa can be contacted via phone (952) 222-8149, or through Ecker, Phillip Marks via phone (952) 222-8149.

Contact Information

Primary practice address
1905 Wayzata Blvd Ste 240 Wayzata MN 55391-5006
Phone: (952) 222-8149
Fax: (262) 240-6257
Website:
Map and Directions
Authorized official contact:
Name: Ecker, Phillip Marks Doctor of Medicine (MD)
Phone: (952) 222-8149

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X

Profile Details

NPI number 1598538258
LBN Legal business name Ecker Dermatology Pa
DBA Doing business as
Authorized official Ecker, Phillip Marks Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2023
Last updated Jun 11th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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