DR. LARISA SOTINSKY SPEETZEN


Address: 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527
Phone: 9529931000

DR. LARISA SOTINSKY SPEETZEN (NPI# 1215199963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215199963
Entity Type Individual
Full Name DR. LARISA SOTINSKY SPEETZEN
Credential M.D.
Practice Address 3800 Park Nicollet Blvd
St Louis Park
MN 55416-2527
Practice Telephone 9529931000
Mailing Telephone 9529931000
Enumeration Date 2008-06-25
Last Update Date 2012-08-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 106410 MN Allopathic & Osteopathic Physicians
N 207N00000X Dermatology 42182 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 450641 05

Office Location

Street Address 3800 PARK NICOLLET BLVD
City ST LOUIS PARK
State MN
Zip Code 55416-2527

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861497745 Mary C Fields Psychiatry & Neurology 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2005-06-16
1316552383 Emily Elizabeth Morimoto Psychologist 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2020-09-15
1245862846 Caara Hirsch Leintz Physician Assistant 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2020-02-11
1477102770 Kyja Foster Counselor 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2019-09-09
1750938411 Abigale Jayne Harris Social Worker 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2019-08-19
1912552076 Michael Patrick Miller Dietitian, Registered 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2019-08-06
1083277743 Jessica B Arndt Social Worker 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2019-04-18
1043785157 Jerry L Juhl Physical Therapist 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2018-10-05
1437624558 Chandler Elise Domian Ommen Occupational Therapist 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2018-10-04
1861977472 Sarah Ruth Tupper Nurse Practitioner 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2018-09-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639711492 Ismahan Abdirahman Mohamed Psychologist 4236 Parkglen Rd, St Louis Park, MN 55416 2019-10-14
1598307860 Ayman Abulaziz Mohamed Counselor 4326 Park Glen Rd, St Louis Park, MN 55416 2019-10-08
1831758929 Ally Group Homes LLC Assisted Living Facility 2944 Princeton Ave South, Saint Louis Park, MN 55416 2019-06-11
1609371525 Heather Margaret Flatgard Chiropractor 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 2018-03-25
1942702394 Polaris Pharmacy Services of Minnesota, LLC Pharmacy 4220 Park Glen Road, St. Louis Park, MN 55416 2018-03-01
1316469760 Evert Ray Boyd Psychologist 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 2017-07-07
1861941684 Amanda Marie Tapper Marriage & Family Therapist 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 2016-09-22
1326410416 Clear Health Chiropractic LLC Chiropractor 5614 W 36th St, St. Louis Park, MN 55416 2015-10-28
1568897833 Kay Elizabeth Lichtenberger Physical Therapist 4415 W 36.5 St, St. Louis Park, MN 55416 2013-09-05
1710221510 Aaron Christopher Oppelt Counselor 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 2012-11-16
Find all providers in zip 55416

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy 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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144207952 Allison L Schini Dermatology Park Nicollet Clinic - Slp, 3800 Park Nicollet Blvd Admin 7n, St Louis Park, MN 55416 2005-12-22
1417944349 Scott M Ross Dermatology 4201 Excelsior Blvd, St Louis Park, MN 55416 2005-10-05
1609304617 Adam Souhail Aldahan Dermatology 3800 Park Nicollet Blvd, St Louis Park, MN 55416 2017-06-03
1619364494 Jaime Loso Dermatology 3800 Park Nicollet Blvd, St Louis Park, MN 55416 2015-04-20
1225443419 Jennifer Day Dermatology 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2014-06-25
1699193714 Kathryn Therese Shahwan Dermatology 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2014-04-05
1922442599 Albert Gutierrez Jr. Dermatology 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2013-04-25
1679837637 Desiree Alaina Mohandas Dermatology 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2012-06-25
1104143437 Anne B Neeley Dermatology 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2010-04-27
1780876987 Katherine A Biebl Duckworth Dermatology 3800 Park Nicollet Blvd, Department of Dermatology, St Louis Park, MN 55416-2527 2007-08-13
Find all providers in ST LOUIS PARK

Competitor

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City ST LOUIS PARK
Zip Code 55416

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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