Acne, Skin Disease & Leg Vein Clinic, P.A.
NPI 1417163189ActiveOrganization· Dermatology· Coon Rapids, MN
Dermatology in Coon Rapids, Minnesota, registered in NPPES in May 2007. The authorized official on file is Theodore Joseph Buselmeier, M.D., President.
Overview
| NPI | 1417163189 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 16, 2007 |
| Last updated in NPPES | Aug 7, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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