Most Relevant Information
Provider Data
| NPI Number: | 1003270232 |
| Provider Name: | ANDREA LANGEVELD |
| Entity Type: | Individual |
| Taxonomy Code: | 207N00000X |
| Specialty: | Dermatology |
| License Number: | 62827 |
Most Important Dates
| Enumeration Date: | 04/13/2016 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
401 PHALEN BLVD
SAINT PAUL
MN
551305302
Practice Location Phone/Fax
| Phone: | 6512547580 |
| Fax: |
Provider Mailing Location
8170 33RD AVE S
BLOOMINGTON
MN
554254516
Provider Mailing Phone/Fax
| Phone: | 6512547580 |
| Fax: |