Dermatology Professionals, PA
Dermatology Professionals, PA is a healthcare organization registered as Clinic/Center in Baxter, MN, holding Type 2 (organization) NPI 1720269426 since 2007. The authorized official on file is Paul Lundstrom, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1720269426 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Dermatology Professionals, PA |
| Practice address | 13359 ISLE DR, STE 3, Baxter, MN, 56425 |
| Phone | 2184547546 |
| Enumeration date | 2007-11-21 |
| Last updated in NPPES | 2024-06-12 |
Authorized official
| Name | Paul Lundstrom |
|---|---|
| Title | President |
| Phone | 2184547546 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | Primary | 45453 | MN |
Copy-ready billing details
Provider: Dermatology Professionals, PA NPI: 1720269426 Taxonomy: 261Q00000X (Clinic/Center) Address: 13359 ISLE DR, STE 3, Baxter, MN, 56425
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1699759647 | Paul Lundstrom | Individual | Dermatology Physician | Baxter, MN |
| 1568440717 | Kurtis Waters | Individual | Otolaryngology Physician | Baxter, MN |
| 1821180712 | Nicole Manecke | Individual | Medical Physician Assistant | Baxter, MN |
| 1265583652 | Advanced Specialty Associates, Ltd | Organization | Facial Plastic Surgery Physician | Baxter, MN |
| 1316471386 | Ethan Kraft | Individual | Otolaryngology Physician | Baxter, MN |
Verify this record
Cross-check NPI 1720269426 against the authoritative CMS record: view Dermatology Professionals, PA on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Dermatology Professionals, PA?
Who is the authorized official for Dermatology Professionals, PA?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-06-12.