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

Jerry Wayne Stanke, MD

Individual provider Dermatology Physician · NPI 1043329220

Jerry Wayne Stanke, MD is a Dermatology Physician in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3555 Willow Lake Blvd Ste 240
Saint Paul, MN 55110-5131
Phone: (651) 770-0110
Fax: (651) 770-0134
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 22442 (MN)

Record details

NPI number1043329220
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESJanuary 28, 2013
Mailing address60 Plato Blvd E, Suite 270, Saint Paul, MN 55107-1827

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