| Central Minnesota Dermatology, Pa | |
|
1903 S 6th St Ste 3 Brainerd MN 56401-4599 | |
| (218) 454-3376 | |
| Not Available |
| Full Name | Central Minnesota Dermatology, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 1903 S 6th St Ste 3, Brainerd, Minnesota |
| Authorized Official Name and Position | Kristina Marie Britton (PRESIDENT) |
| Authorized Official Contact | 2184543376 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Minnesota Dermatology, Pa 1903 S 6th St Ste 3 Brainerd MN 56401-4599 Ph: (218) 454-3376 | Central Minnesota Dermatology, Pa 1903 S 6th St Ste 3 Brainerd MN 56401-4599 Ph: (218) 454-3376 |
| NPI Number | 1285220079 |
|---|---|
| Provider Enumeration Date | 12/15/2020 |
| Last Update Date | 01/19/2026 |
| Medicare PECOS PAC ID | 4486069176 |
|---|---|
| Medicare Enrollment ID | O20210210000821 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285220079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Kristina Marie Britton |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1982831889 PECOS PAC ID: 7214176015 Enrollment ID: I20130626000409 |
| Provider Name | Lindsay Rae Fry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689275042 PECOS PAC ID: 1153732748 Enrollment ID: I20230504002139 |
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