Dermatology Professionals, PA
Dermatology Professionals, PA is an MOHS-Micrographic Surgery Physician in Grand Rapids, Minnesota. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1749 SE 2nd AveGrand Rapids, MN 55744-2576
Phone: (218) 454-7546
Fax: (218) 454-0390
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| MOHS-Micrographic Surgery Physician (primary) | Taxonomy 207ND0101X |
|---|
Record details
| NPI number | 1467169979 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Paul Lundstrom — President · (218) 454-7546 |
| NPI enumerated | November 3, 2022 |
| Last updated in NPPES | June 12, 2024 |
| Certification date | June 12, 2024 |
| Mailing address | 13359 Isle Dr Ste 3, Baxter, MN 56425-2223 |