| Dermatology Professionals, Pa | |
|
13359 Isle Dr Ste 3 Baxter MN 56425 | |
| (218) 454-7546 | |
| Not Available |
| Full Name | Dermatology Professionals, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 13359 Isle Dr, Baxter, Minnesota |
| Authorized Official Name and Position | Paul B Lundstrom (PRESIDENT) |
| Authorized Official Contact | 2184547546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dermatology Professionals, Pa 13359 Isle Dr Ste 3 Baxter MN 56425 Ph: (218) 454-7546 | Dermatology Professionals, Pa 13359 Isle Dr Ste 3 Baxter MN 56425 Ph: (218) 454-7546 |
| NPI Number | 1720269426 |
|---|---|
| Provider Enumeration Date | 11/21/2007 |
| Last Update Date | 06/12/2024 |
| Medicare PECOS PAC ID | 4587753934 |
|---|---|
| Medicare Enrollment ID | O20071207000626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720269426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 45453 (Minnesota) | Primary |
| Provider Name | Rebekah R White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598744997 PECOS PAC ID: 5698799831 Enrollment ID: I20060116000086 |
| Provider Name | Paul B Lundstrom |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1699759647 PECOS PAC ID: 1951369057 Enrollment ID: I20060202000216 |
| Provider Name | Whitney D Tope |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1770506784 PECOS PAC ID: 3779586888 Enrollment ID: I20060810000227 |
| Provider Name | Kassandra J Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487916532 PECOS PAC ID: 1153571443 Enrollment ID: I20121023000130 |
| Provider Name | Kristina Marie Britton |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1982831889 PECOS PAC ID: 7214176015 Enrollment ID: I20130626000409 |
| Provider Name | Jennifer A Tinkler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982790242 PECOS PAC ID: 4183671779 Enrollment ID: I20140116001211 |
| Provider Name | Angela E Aakhus |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1326330127 PECOS PAC ID: 8820394604 Enrollment ID: I20160919000652 |
| Provider Name | Ryan O Mareck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508344391 PECOS PAC ID: 8921359613 Enrollment ID: I20180919001619 |
| Provider Name | Kelley Layne Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477108033 PECOS PAC ID: 6204168370 Enrollment ID: I20191023002165 |
Essentia Health-st Joseph's Baxter Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13060 Isle Drive, Baxter, MN 56425 Phone: 218-828-2880 | |
Dermatology Professionals Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15167 Edgewood Dr, Suite 200, Baxter, MN 56401 Phone: 218-454-7546 | |
Twwmad Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7111 Forthun Rd Ste 200, Baxter, MN 56425 Phone: 218-820-1516 | |
True North Counseling And Consulting Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13432 Elmwood Dr Ste 209, Baxter, MN 56425 Phone: 218-839-9421 | |
Centracare - Baxter Specialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7418 Forthun Rd, Baxter, MN 56425 Phone: 320-251-2700 | |
Essentia Health - Baxter Specialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13060 Isle Drive, Baxter, MN 56425 Phone: 218-828-2880 |