Organization
DERMATOLOGY CONSULTANTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY W STANKE M.D. (PRESIDENT)
(651) 291-9166
Entity
Organization
Contact information
Practice address
60 PLATO BLVD E, SUITE 270, SAINT PAUL, MN 55107-1827
(651) 291-9166
(651) 291-9169
Mailing address
60 PLATO BLVD E, SUITE 270, SAINT PAUL, MN 55107-1827
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/14/2006
Last updated
02/24/2012
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