Dermatology Professionals, PA

NPI #1720269426 in Baxter, Minnesota

Provider Information

NPI Number: 1720269426
Entity Type: Organization
Organization Name: Dermatology Professionals, PA
Primary Specialty: Clinic/Center
Enumeration Date: Nov 21, 2007
Last Updated: Jun 12, 2024

Practice Location

Address: 13359 ISLE DR
Address 2: STE 3
City: Baxter
State: Minnesota
ZIP Code: 56425
Phone: (218) 454-7546

Authorized Official

Name: PAUL B LUNDSTROM, MD
Title: PRESIDENT
Phone: (218) 454-7546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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