Photodermic Skin Therapy, Llc, NPI 1982877015
Procedural Dermatology Physician in Indianapolis, IN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1982877015
NPI Entity Type Organization
Provider Name Photodermic Skin Therapy, Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3833 N Meridian St Ste 10, Indianapolis, IN, US
Provider Mailing Address 3833 N Meridian St Ste 10, Indianapolis, IN, US, 462084001
Is Sole Proprietor? No
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Organization Official

Official Name Doug Wregge
Official Position OWNER
Phone 317-283-8113

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

207NS0135X

Taxonomy Name Procedural Dermatology Physician
Classification

Dermatology

Group

Allopathic & Osteopathic Physicians

Description Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Business Address

Photodermic Skin Therapy, Llc
3833 N Meridian St Ste 10

Indianapolis, IN, US

Phone: 317-926-4687

Mailing Address

Photodermic Skin Therapy, Llc
3833 N Meridian St Ste 10
Indianapolis, IN, US
ZIP 462084001
Phone: 317-926-4687

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Kelcie Marie Small

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Developmental Therapist

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