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DERMATOLOGY PROFESSIONALS, PA
NPI 1467169979
Dermatology - MOHS-Micrographic Surgery in Grand Rapids, MN

Active since November 03, 2022
1749 SE 2ND AVE, GRAND RAPIDS, MN 55744(218) 454-7546(218) 454-0390 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2024, Nov 3, 2022 (2 updates tracked since 2022).

About Dermatology Professionals, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERMATOLOGY PROFESSIONALS, PA (NPI 1467169979) is a healthcare organization registered as a mohs-micrographic surgery in Grand Rapids, Minnesota and active in the NPI registry since November 2022. The organization lists Paul Lundstrom, President, as its authorized official.

NPPES Registry Identity

NPI1467169979
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameDERMATOLOGY PROFESSIONALS, PA
Location Address1749 SE 2ND AVEGrand Rapids, MN 55744-2576
Mailing Address13359 Isle Dr Ste 3Baxter, MN 56425-2223 · (218) 454-7546 · Fax (218) 454-0390
Phone(218) 454-7546
Fax(218) 454-0390
Organization SubpartNo
Authorized OfficialPaul LundstromPresident · (218) 454-7546
Enumeration DateNovember 3, 2022
Last NPPES UpdateJune 12, 20242 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1467169979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
1749 SE 2ND AVE, Grand Rapids, MN 55744
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MORGAN-LEE L. LOWDEN
Counselor (Mental Health)
1749 SE 2ND AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 326-9781
ANDERSON JORE COUNSELING PC.
Counselor (Mental Health)
1749 SE 2ND AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 326-5694
VICTORIA BECK, MSW, LICSW LLC
Social Worker (Clinical)
1749 SE 2ND AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 326-9781
VICTORIA BECK LICSW
Social Worker (Clinical)
1749 SE 2ND AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 326-9781

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dermatology Professionals, PA's NPI number?

The NPI number for Dermatology Professionals, PA is 1467169979. It was assigned to this organization in the NPPES registry on November 3, 2022.

Where is Dermatology Professionals, PA located?

Dermatology Professionals, PA is located at 1749 SE 2nd Ave, Grand Rapids, MN 55744. The listed phone number is (218) 454-7546.

What is Dermatology Professionals, PA's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

What insurance does Dermatology Professionals, PA accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Dermatology Professionals, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dermatology Professionals, PA was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.