DR. KATHLEEN DEMANIVEL, MD
Dermatology
Active
Individual
NPI: 1477543957
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dermatology | 207N00000X | Yes | 31117 (MN) |
Frequently Asked Questions
NPI 1477543957 is the National Provider Identifier for DR. KATHLEEN DEMANIVEL, MD, a Dermatology provider located in Maple Grove, MN. This NPI was enumerated on October 25, 2005.
DR. KATHLEEN DEMANIVEL, MD practices at 14500 99TH AVE N, Maple Grove, MN 55369.
Quick Facts
- NPI
- 1477543957
- Type
- Individual
- Enumerated
- Oct 25, 2005
- Last Updated
- Aug 13, 2012
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