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

Cooper Campbell Wriston, MD

Individual provider Dermatology Physician · NPI 1134356728

Cooper Campbell Wriston, MD is a Dermatology in Burlington, Vermont. Qualified in 2009, 17 years ago. Practices with Forefront Dermatology SC, a 645-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota, Vermont and Wisconsin.

Years since qualifying
17
Licensed in
MN, VT, WI
In the registry since
2009
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 Colchester Ave
Burlington, VT 05401-1473
Phone: (802) 847-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 200 1st St Sw, Rochester, MN 55905-0001 — (507) 284-2511
  • 33 Green Bay Rd, Sturgeon Bay, WI 54235-2831 — (920) 746-4434

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 042-0017489 (VT)
Dermatology Physician Taxonomy 207N00000X · Licence 1601-320 (WI)
Dermatology Physician Taxonomy 207N00000X · Licence 105037 (MN)
Dermatology Physician Taxonomy 207N00000X · Licence 53518 (MN)

Record details

NPI number1134356728
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2009
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Also practisesMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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