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MOHS-Micrographic Surgery Physician in Minneapolis, MN
NPI: 1164406369Primary Practice Location
PARK NICOLLET METHODIST HOSPITAL
6500 Excelsior Blvd, St Louis Park, MN
Primary Employer
Park Nicollet Clinic-St Louis Park
healthpartners.com
HQ Phone
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Get Started for Freearrow_outwardMN State Medical License
MN State Medical License
1990 - 2026

American Board of Dermatology
Dermatology

American Board of Otolaryngology - Head and Neck Surgery
Otolaryngology
Medical University of South Carolina (MUSC)
medicine.musc.edu
Medical School
Until 2026
| # | Procedure Code (CPT®/HCPCS II) | Procedure Patients | Procedure Volume |
|---|---|---|---|
| 1 | 17311Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 96 | 117 |
| 2 | 17312Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 58 | 86 |
| 3 | 12052Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 36 | 37 |
| 4 | 12032Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 33 | 36 |
| 5 | 11102Tangential biopsy of single skin lesion | 22 | 24 |