Doctor profile · Federal record
Dr. Jerry Stanke, M.D.
Dermatology Physician · Saint Paul, MN
- NPI 1043329220
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3555 Willow Lake Blvd, Suite 240
Saint Paul, MN 551105131
(651) 770-0110
fax (651) 770-0134 - Mailing address
-
60 Plato Blvd E, Suite 270
Saint Paul, MN 551071827
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- January 28, 2013
- Specialty taxonomy
- 207N00000X — NUCC code
- State license (1)
- Minnesota #22442
- Medicaid
- MN #553002400
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1043329220. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$21
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ucb, INC. | 1 | $20.74 |
By nature of payment
Frequently asked questions
What is Dr. Jerry Stanke's medical specialty?
Dr. Jerry Stanke practices Dermatology Physician in Saint Paul, MN.
Where does Dr. Jerry Stanke practice?
Dr. Jerry Stanke practices at 3555 Willow Lake Blvd, Saint Paul, MN 551105131. Office phone: 6517700110.
What is Dr. Jerry Stanke's NPI?
Dr. Jerry Stanke's National Provider Identifier (NPI) is 1043329220, issued by NPPES.