Graduated: 2002
NPI: 1821180712
Practice Locations (2)
DERMATOLOGY PROFESSIONALS, PA
13359 ISLE DR, SUITE 3
BAXTER, MN 564252223
2184547546
DERMATOLOGY PROFESSIONALS, PA
15167 EDGEWOOD DR, SUITE 200
BRAINERD, MN 564016948
2184547546
Source: CMS National Downloadable File, September 2026.