DERMATOLOGY PROFESSIONALS, PA – NPI #1720269426
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

DERMATOLOGY PROFESSIONALS, PA is an AHC clinic located in BAXTER, MN. NPPES has assigned the NPI number 1720269426 to DERMATOLOGY PROFESSIONALS, PA on November 21, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was last updated on Jun 12, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DERMATOLOGY PROFESSIONALS, PA below.

NPI Profile for
DERMATOLOGY PROFESSIONALS, PA

NPI Number
1720269426
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DERMATOLOGY PROFESSIONALS, PA
Primary location
13359 ISLE DR
STE 3
BAXTER, MN 56425
Phone: (218) 454-7546 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PAUL LUNDSTROM
PRESIDENT
Phone: (218) 454-7546
Updated
Certification Date
Jun 12, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)		 MN 45453

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.