Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MAX DISSE, M.D
ActiveDR. MAX DISSE, M.D is a Dermatology healthcare provider located in DETROIT LAKES, Minnesota. NPI 1073975462 is currently active in the NPPES registry. Verify at CMS.
Dermatology · DETROIT LAKES, MN
Registration Details
- NPI Number
- 1073975462
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 24, 2016 (10.420568362737 yrs)
- Last Updated
- Aug 27, 2020
- License
-
67942 (MN)
Practice Information
- Address
-
1245 WASHINGTON AVEDETROIT LAKES, MN, 565013905Browse MN providers · Browse ZIP 56501
- Phone
- 2188462000
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.