OrganizationActive
Clinic 5c Dermatology
NPI 1669340048 · Dermatology Physician · Coeur D Alene, ID
Provider details
- NPI number
- 1669340048
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cameron Chesnut, Owner(509) 343-0250
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
Practice location
1875 N Lakewood Dr Fl 3
Coeur D Alene, ID 83814-4928
Phone: (509) 343-0250
Approximate (ZIP-level) locationGet directions
Mailing address
1875 N Lakewood Dr Fl 3
Coeur D Alene, ID 83814-4928
Registry dates
- Enumerated
- 2025-10-27
- Last updated
- 2025-10-27
- Certified
- 2025-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.