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

Uptown Dermatology & Skin Spa, PA

Organization Dermatology Physician · NPI 1205868619

Uptown Dermatology & Skin Spa, PA is a Dermatology Physician in Minneapolis, Minnesota. Registered with an NPI since 2006.

In the registry since
2006
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

1221 W Lake St Ste 208
Minneapolis, MN 55408-3397
Phone: (612) 455-3200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1205868619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaime Davis — Owner · (612) 455-3200
NPI enumeratedJuly 7, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1221 W Lake St, Suite 208, Minneapolis, MN 55408-3397

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