Individual provider · Type 1 NPI

Jerry Wayne Stanke, MD

Dermatology Physician · St. Paul, MN

NPI number 1043329220 Active

Practice location

3555 Willow Lake Blvd, Suite 240
St. Paul, MN 55110-5131

Call (651) 770-0110 Map

Fax (651) 770-0134

Mailing address

60 Plato Blvd E, Suite 270
St. Paul, MN 55107-1827

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000X22442 (MN)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1043329220

Jerry Wayne Stanke, MD's National Provider Identifier is 1043329220, issued on Aug 30, 2006. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in St. Paul, MN. The record was last updated on Jan 28, 2013.