Dermatology Professionals PA

NPI #1306196548 in Baxter, Minnesota

Provider Information

NPI Number: 1306196548
Entity Type: Organization
Organization Name: Dermatology Professionals PA
Subpart: Yes (part of a larger organization)
Parent Organization: DERMATOLOGY PROFESSIONALS PA
Primary Specialty: Clinic/Center
Enumeration Date: Sep 14, 2012
Last Updated: Jun 12, 2024

Practice Location

Address: 15167 EDGEWOOD DR
Address 2: SUITE 200
City: Baxter
State: Minnesota
ZIP Code: 56401-6946
Phone: (218) 454-7546

Authorized Official

Name: MORGAN BURGSTALER
Title: ADMINISTRATOR
Phone: (218) 454-3065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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