NPI 1104088202 · live from the CMS NPI Registry
Patrick Safo, MD PhD
Dermatology in Stevens Point, WI. National Provider Identifier 1104088202, active.
NPI record
| NPI | 1104088202 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 824 Illinois Ave, Stevens Point, WI 54481 |
| Practice phone | 715-342-7500 |
| Mailing address | 211 Sioux Point Rd Ste 200, Dakota Dunes, SD 57049 |
| Enumerated | June 30, 2008 |
| Last updated | March 12, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — (MD) |
| Dermatology primary | 207N00000X | 56518-20 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.