Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dermatology Professionals PA

Organization Clinic/Center · NPI 1720840788

Dermatology Professionals PA is a Clinic/Center in Saint Cloud, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1511 Northway Dr Ste 103
Saint Cloud, MN 56303-1262
Phone: (218) 454-7546
Fax: (218) 454-0390
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1720840788
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Morgan Burgstaler — Administrator · (218) 454-7546
NPI enumeratedJanuary 25, 2024
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024
Mailing address13359 Isle Dr Ste 3, Baxter, MN 56425-2223

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