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

Organization Dermatology Physician · NPI 1649542150

Erickson Skin Surgery & Dermatology, LLC is a Dermatology Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2012.

Licensed in
MO
In the registry since
2012
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

555 N New Ballas Rd Ste 260
Saint Louis, MO 63141-6825
Phone: (210) 274-5520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 2006001518 (MO)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 2006001518 (MO)

Record details

NPI number1649542150
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Quenby Erickson — Owner · (210) 274-5520
NPI enumeratedJanuary 30, 2012
Last updated in NPPESJanuary 30, 2012
Mailing address555 N New Ballas Rd, Suite 260, Saint Louis, MO 63141-6825

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