Jerry Wayne Stanke (NPI# 1043329220, PAC ID# 2365346186) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1043329220 |
| PAC ID by PECOS | 2365346186 |
| Professional Enrollment ID | I20101030000122 |
| Full Name | Jerry Wayne Stanke |
| Organization Legal Name | DERMATOLOGY CONSULTANTS, PA |
| Address |
3555 Willow Lake Blvd Suite 240 Vadnais Heights MN 55110-5131 |
| Phone Number | 6517700110 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1974 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 1850295676 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 280 Snelling Ave N, Saint Paul, MN 55104-5330 | 6516453628 | DERMATOLOGY CONSULTANTS, PA |
| 3555 Willow Lake Blvd, Suite 240, Vadnais Heights, MN 55110-5131 | 6517700110 | DERMATOLOGY CONSULTANTS, PA |
| Organization Legal Name | DERMATOLOGY CONSULTANTS, PA |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phillip J Keith | Dermatology | Dermatology Consultants, Pa | 280 Snelling Ave N, Saint Paul, MN 55104-5330 |
| Margaret A Collins | Dermatology | Dermatology Consultants, Pa | 3555 Willow Lake Blvd, Suite 240, Vadnais Heights, MN 55110-5131 |
| Matthew J Larson | Dermatology | Dermatology Consultants, Pa | 1215 Town Centre Dr, Suite 200, Eagan, MN 55123-1033 |
| Bethany A C Grothe | Dermatology | Dermatology Consultants, Pa | 3555 Willow Lake Blvd, Suite 240, Vadnais Heights, MN 55110-5131 |
| Jozef Lazar | Dermatology | Dermatology Consultants, Pa | 280 Snelling Ave N, Saint Paul, MN 55104-5330 |
| Cortney D White | Dermatology | Dermatology Consultants, Pa | 280 Snelling Ave N, Saint Paul, MN 55104-5330 |
| Pierre M George | Dermatology | Dermatology Consultants, Pa | 280 Snelling Ave N, Saint Paul, MN 55104-5330 |
| Todd G Seelhammer | Dermatology | Dermatology Consultants, Pa | 280 Snelling Ave N, Saint Paul, MN 55104-5330 |
| Joseph J Shaffer | Dermatology | Dermatology Consultants, Pa | 3555 Willow Lake Blvd, Suite 240, Vadnais Heights, MN 55110-5131 |
| Julie S Cronk | Dermatology | Dermatology Consultants, Pa | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55110-1415 |
| Street Address |
3555 WILLOW LAKE BLVD SUITE 240 |
| City | VADNAIS HEIGHTS |
| State | MN |
| Zip | 55110-5131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret A Collins | Dermatology | Dermatology Consultants, Pa | 3555 Willow Lake Blvd, Suite 240, Vadnais Heights, MN 55110-5131 |
| Bethany A C Grothe | Dermatology | Dermatology Consultants, Pa | 3555 Willow Lake Blvd, Suite 240, Vadnais Heights, MN 55110-5131 |
| Joseph J Shaffer | Dermatology | Dermatology Consultants, Pa | 3555 Willow Lake Blvd, Suite 240, Vadnais Heights, MN 55110-5131 |
| Diana K Cohen | Dermatology | Dermatology Consultants, Pa | 3555 Willow Lake Blvd, Suite 240, Vadnais Heights, MN 55110-5131 |
| Robert Clifton Anderson | Dermatology | Dermatology Consultants, Pa | 3555 Willow Lake Blvd, Suite 240, Vadnais Heights, MN 55110-5131 |
| Noel Anthony Hauge | Dermatology | Dermatology Consultants, Pa | 3555 Willow Lake Blvd, Suite 240, Vadnais Heights, MN 55110-5131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie S Cronk | Dermatology | Dermatology Consultants, Pa | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55110-1415 |
| Juan P Jaimes | Dermatology | Dermatology Consultants, Pa | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55110-1415 |
| Kristina Shaffer | Dermatology | Dermatology Consultants, Pa | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55110-1415 |
| Lydia Turnbull | Dermatology | Dermatology Consultants, Pa | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55110-1415 |
| Jeremy W Cook | Dermatology | Dermatology Consultants, Pa | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55110-1415 |
| Mina C Ingersoll | Clinical Social Worker | Ingersoll Associates LLC | 5522 W Bald Eagle Blvd, White Bear Lake, MN 55110-2381 |
| James T Barr | Chiropractic | Barr Family Chiropractic and Sports Clinic | 4719 Banning Ave, White Bear Lake, MN 55110-3217 |
| Joshua Richard Jaeger | Chiropractic | Barr Family Chiropractic and Sports Clinic | 4719 Banning Ave, White Bear Lake, MN 55110-3217 |
| Colin L Natrop | Chiropractic | Barr Family Chiropractic and Sports Clinic | 4719 Banning Ave, White Bear Lake, MN 55110-3217 |
| Mitchell Green | Chiropractic | Carlson Chiropractic Corporation | 4717 Clark Ave, White Bear Lake, MN 55110-3221 |
| Find all physicians in zip 55110 | |||
| City | VADNAIS HEIGHTS |
| Zip Code | 55110 |
| Specialty | DERMATOLOGY |
| City + Specialty | VADNAIS HEIGHTS + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.