MEDICARE: COLE DERMATOLOGY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	2871806	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	112904	OTHER	MN	GROUP HEALTH
2	24T70CO	OTHER	MN	BLUE CROSS
3	D367	OTHER	MN	UCARE
4	989381012966	OTHER	MN	PREFERRED ONE COMM

General Provider Information

NPI Number	:	1821054750
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLE DERMATOLOGY

Provider Business Mailing Address
First Line	:	PO BOX 99
Second Line	:
City	:	NORTHFIELD
State	:	MN
Zip	:	55057-0099
Country	:	US
Telephone Number	:	507-645-2212
Fax Number	:	507-645-0616

Provider Business Practice Location Address
First Line	:	710 DIVISION ST S
Second Line	:
City	:	NORTHFIELD
State	:	MN
Zip	:	55057-2468
Country	:	US
Telephone Number	:	507-645-2212
Fax Number	:	507-645-0616

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HEIDI COLE
Credential	:	MD
Telephone Number	:	507-645-2212

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1982600524 — DR. JAMES ROBERT GUTFLEISCH O.D.
Practice Location Address:

710 DIVISION ST-SOUTH , SUITE A
NORTHFIELD, MN
55057-2468

Practice Phone: 507-645-2261
Practice Fax: 507-786-9703

1952385114 — RANDOLPH J REISTER MD
Practice Location Address:

710 DIVISION ST S
NORTHFIELD, MN
55057-2468

Practice Phone: 507-646-1494
Practice Fax:

1104876010 — DR. THOMAS A OAS MD
Practice Location Address:

710 DIVISION ST S
NORTHFIELD, MN
55057-2468

Practice Phone: 507-646-1494
Practice Fax:

1881648749 — DR. DONALD L LUM MD
Practice Location Address:

710 DIVISION ST S
NORTHFIELD, MN
55057-2468

Practice Phone: 507-646-1494
Practice Fax:

1609887686 — MR. JOHN JOSHUA SAND ATC
Practice Location Address:

710 DIVISION ST S
NORTHFIELD, MN
55057-2468

Practice Phone: 507-646-6854
Practice Fax:

1568092781 — CHRISTINA ELIZABETH VIKESLAND MA, LMFT
Practice Location Address:

570 PROFESSIONAL DR
NORTHFIELD, MN
55057-2756

Practice Phone: 507-301-3412
Practice Fax: 507-301-3308

Directions to “COLE DERMATOLOGY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.