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

Ecker Dermatology PA

Organization Dermatology Physician · NPI 1598538258

Ecker Dermatology PA is a Dermatology Physician in Wayzata, Minnesota. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1905 Wayzata Blvd Ste 240
Wayzata, MN 55391-5006
Phone: (952) 222-8149
Fax: (262) 240-6257
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Dermatopathology Physician Taxonomy 207ND0900X
Procedural Dermatology Physician Taxonomy 207NS0135X

Record details

NPI number1598538258
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phillip Ecker — Ceo · (952) 222-8149
NPI enumeratedNovember 3, 2023
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024
Mailing address1905 Wayzata Blvd Ste 240, Wayzata, MN 55391-5006

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