Organization
DERMATOLOGY PROFESSIONALS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORGAN LEIGH BURGSTALER (ADMINISTRATOR)
(218) 454-7546
Entity
Organization
Contact information
Practice address
1511 NORTHWAY DR STE 103, SAINT CLOUD, MN 56303-1262
(218) 454-7546
(218) 454-0390
Mailing address
13359 ISLE DR STE 3, BAXTER, MN 56425-2223
(218) 454-7546
(218) 454-0390
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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