Organization
DERMATOLOGY PROFESSIONALS PA
Active
Organization
DERMATOLOGY PROFESSIONALS PA
Active
Parent organization
DERMATOLOGY PROFESSIONALS PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
DERMATOLOGY PROFESSIONALS PA
Authorized official
MORGAN BURGSTALER (ADMINISTRATOR)
(218) 454-3065
Entity
Organization
Contact information
Practice address
15167 EDGEWOOD DR, SUITE 200, BAXTER, MN 56401-6946
(218) 454-7546
Mailing address
13359 ISLE DR, SUITE 3, BAXTER, MN 56425-2222
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
45453
MN
Other
Enumeration date
09/14/2012
Last updated
06/12/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up