Individual provider · Type 1 NPI

Blake R. Zelickson, MD, PhD

Dermatology Physician · Sterling, VA

NPI number 1902292394 Active

Practice location

22365 Broderick Drive, Suite 115
Sterling, VA 20166-9362

Fax (571) 707-8123

Mailing address

22365 Broderick Dr Ste 115
Sterling, VA 20166-9362

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000X0101269123 (VA)

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 1902292394

Blake R. Zelickson, MD, PhD's National Provider Identifier is 1902292394, issued on Apr 13, 2015. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Sterling, VA. The record was last updated on Jan 5, 2026.