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

Stillwater Medical Group

Organization Dermatology Physician · NPI 1558350488

Stillwater Medical Group is a Dermatology Physician in Stillwater, Minnesota. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
15

Practice location Address checks out

1500 Curve Crest Blvd W
Stillwater, MN 55082-6040
Phone: (651) 439-1234
Fax: (651) 351-0827
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Dermatology Physician Taxonomy 207N00000X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X
Internal Medicine Physician Taxonomy 207R00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Otolaryngology Physician Taxonomy 207Y00000X
Pediatrics Physician Taxonomy 208000000X
Occupational Medicine Physician Taxonomy 2083X0100X
Surgery Physician Taxonomy 208600000X
Podiatrist Taxonomy 213E00000X
Physical Therapist Taxonomy 225100000X
Audiologist Taxonomy 231H00000X
Medical Physician Assistant Taxonomy 363AM0700X
Nurse Practitioner Taxonomy 363L00000X
Advanced Practice Midwife Taxonomy 367A00000X

Record details

NPI number1558350488
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kirk Nybakken — Director Of Finance · (651) 275-3302
Other names Stillwater Medical Group, Pa
NPI enumeratedOctober 13, 2005
Last updated in NPPESOctober 18, 2011
Mailing address1500 Curve Crest Blvd W, Stillwater, MN 55082-6040

Other providers in Stillwater