ACNE, SKIN DISEASE & LEG VEIN CLINIC, P.A.
NPI 1417163189
Dermatology in Coon Rapids, MN

Active since May 16, 2007
3960 COON RAPIDS BLVD NW, SUITE 116, COON RAPIDS, MN 55433(763) 427-8113(763) 427-8131 Get Directions Write a Review

NPPES record last updated: August 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Acne, Skin Disease & Leg Vein Clinic, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACNE, SKIN DISEASE & LEG VEIN CLINIC, P.A. (NPI 1417163189) is a healthcare organization registered as a dermatology in Coon Rapids, Minnesota and active in the NPI registry since May 2007. The organization lists Theodore Joseph Buselmeier, President, as its authorized official.

NPPES Registry Identity

NPI1417163189
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameACNE, SKIN DISEASE & LEG VEIN CLINIC, P.A.
Location Address3960 COON RAPIDS BLVD NW, SUITE 116Coon Rapids, MN 55433-2569
Mailing Address3960 Coon Rapids Blvd Nw, Suite 116Coon Rapids, MN 55433-2569 · (763) 427-8113 · Fax (763) 427-8131
Fax(763) 427-8131
Organization SubpartNo
Authorized OfficialTheodore Joseph BuselmeierPresident · (763) 427-8113
Enumeration DateMay 16, 2007
Last NPPES UpdateAugust 7, 2008
NPI 1417163189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3960 COON RAPIDS BLVD NW, Coon Rapids, MN 55433

Other Identifiers 1

Medicare PINC04943MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
3960 COON RAPIDS BLVD NW, 100
COON RAPIDS, MN 55433
Internal Medicine
3960 COON RAPIDS BLVD NW, 100
COON RAPIDS, MN 55433
Obstetrics & Gynecology
3960 COON RAPIDS BLVD NW, SUITE101
COON RAPIDS, MN 55433
Dentist (Endodontics)
3960 COON RAPIDS BLVD NW, SUITE 320
COON RAPIDS, MN 55433
Internal Medicine
3960 COON RAPIDS BLVD NW, SUITE 100
COON RAPIDS, MN 55433
Internal Medicine
3960 COON RAPIDS BLVD NW, 100
COON RAPIDS, MN 55433
Obstetrics & Gynecology
3960 COON RAPIDS BLVD NW, SUITE 101
COON RAPIDS, MN 55433
Obstetrics & Gynecology
3960 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Acne, Skin Disease & Leg Vein Clinic, P.A.'s NPI number?

The NPI number for Acne, Skin Disease & Leg Vein Clinic, P.A. is 1417163189. It was assigned to this organization in the NPPES registry on May 16, 2007.

Where is Acne, Skin Disease & Leg Vein Clinic, P.A. located?

Acne, Skin Disease & Leg Vein Clinic, P.A. is located at 3960 Coon Rapids Blvd NW Suite 116, Coon Rapids, MN 55433. The listed phone number is (763) 427-8113.

What is Acne, Skin Disease & Leg Vein Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Acne, Skin Disease & Leg Vein Clinic, P.A. was last updated on August 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.