Mat-Su Dermatology, LLC

NPI #1063300580 in Palmer, Alaska

Provider Information

NPI Number: 1063300580
Entity Type: Organization
Organization Name: Mat-Su Dermatology, LLC
Primary Specialty: Dermatology - MOHS-Micrographic Surgery
Enumeration Date: Jun 24, 2025
Last Updated: Aug 20, 2025

Practice Location

Address: 2250 S WOODWORTH LOOP STE 101
City: Palmer
State: Alaska
ZIP Code: 99645-7457
Phone: (907) 745-7546

Authorized Official

Name: MELODY MITTELSTEADT
Title: COO
Phone: (210) 897-9248

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X	Primary

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Peter George Ehrnstrom, M.D.	Dermatology - MOHS-Micrographic Surgery	Anchorage	AI Deep Dive
DR. Mathew M Cannava, M.D.	Dermatology - MOHS-Micrographic Surgery	Soldotna	AI Deep Dive
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The Dermatology and Skin Cancer Clinic of Alaska	Dermatology - MOHS-Micrographic Surgery	Soldotna	AI Deep Dive
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