Provider Demographics
NPI:1083722490
Name:SKOW, JOSEPH I (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:I
Last Name:SKOW
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Gender:M
Credentials:MD
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Mailing Address - Street 1:393 DUNLAP ST N
Mailing Address - Street 2:832
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-4200
Mailing Address - Country:US
Mailing Address - Phone:651-646-2717
Mailing Address - Fax:651-646-5144
Practice Address - Street 1:393 DUNLAP ST N
Practice Address - Street 2:832
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-4200
Practice Address - Country:US
Practice Address - Phone:651-646-2717
Practice Address - Fax:651-646-5144
Is Sole Proprietor?:No
Enumeration Date:2006-08-26
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MN19814208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
A95276Medicare UPIN