Dermatology Professionals, PA
NPI 1467169979 · MOHS-Micrographic Surgery Physician · Grand Rapids, MN
Dermatology Professionals, PA is a MOHS-Micrographic Surgery Physician organization in Grand Rapids, MN (NPI 1467169979).
Provider details
- NPI number
- 1467169979
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Paul Lundstrom, President(218) 454-7546
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-11-03
- Last updated
- 2024-06-12
- Certified
- 2024-06-12
Frequently asked questions
- What is Dermatology Professionals, PA's NPI number?
- Dermatology Professionals, PA's National Provider Identifier (NPI) is 1467169979, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermatology Professionals, PA?
- Dermatology Professionals, PA is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Dermatology Professionals, PA located?
- Dermatology Professionals, PA's practice location on file with NPPES is 1749 Se 2nd Ave, Grand Rapids, MN 55744-2576.
- What is Dermatology Professionals, PA's phone number?
- The practice phone number listed in the NPPES registry for Dermatology Professionals, PA is (218) 454-7546.
- Who is the authorized official for Dermatology Professionals, PA?
- The authorized official listed on Dermatology Professionals, PA's NPPES record is Paul Lundstrom, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermatology Professionals, PA's NPI active?
- Yes — Dermatology Professionals, PA's NPI (1467169979) is active in the NPPES registry as of the last update on 2024-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.