Paul Rusonis, M.D.
Dr. Rusonis has been practicing dermatology in Howard County since 1986 and established Dermatology & Advanced Skin Care in 2002. He received his medical degree from the University of Pennsylvania School of Medicine in Philadelphia. After completing an Internal Medicine internship at Mercy Hospital in Pittsburgh, he trained in Dermatology at Johns Hopkins Medical Institution. Dr. Rusonis has been in private practice and a part-time instructor of Dermatology at Johns Hopkins Hospital since 1986. He is a diplomate of the American Board of Dermatology and a member of the American Academy of Dermatology, American Society for Dermatologic Surgery, and Maryland Dermatology Society.

Anita Iyer, M.D.
Dr. Iyer received her medical degree from the Medical College of Ohio in Toledo, OH where she graduated with honors. She completed an Internal Medicine internship at the Lahey Clinic in Massachusetts and then trained in Dermatology at Henry Ford Hospital in Detroit, MI. Dr. Iyer is a member of the American Academy of Dermatology and the Maryland Dermatology Society. She joined Dermatology & Advanced Skin Care in 2005.

Juris Germanas, M.D.
Dr. Germanas received his medical degree and completed his Dermatology residency at the University of Texas Southwestern Medical School in Dallas. Prior to becoming a physician, he completed his Ph.D. in Chemistry at the University of California at Berkeley and fellowships at the Rockefeller University in New York and California Institute of Technology in Pasadena. He was an Assistant Professor of Chemistry and Biochemistry at the University of Houston for several years. Currently, Dr. Germanas is a member of the American Academy of Dermatology, American Medical Association, and the Maryland Dermatology Society. He joined Dermatology & Advanced Skin Care in 2006.

Amy Spangler, P.A.
Amy Spangler earned her Masters Degree of Physician Assistant Studies from the University of Nebraska Medical Center in Omaha, Nebraska. She is nationally certified as a Physician Assistant. She has years of experience practicing general and cosmetic dermatology. in addition, she spent a year practicing as a Family Practice Physician Assistant. She is a member of the Society of Dermatology Physician Assistants, the Maryland Academy of Physician Assistants, and the American Academy of Physician Assistants. 

Receiving treatment from a Physician Assistant may be new to some of you.  Rest assured that Dr. Rusonis is still involved in treatment decisions as needed. Our staff works as a team to address your dermatologic concerns. Amy Spangler is experienced in addressing a wide range of dermatologic concerns and issues!  By having an experienced Physician Assistants at Dermatology & Advanced Skin Care, we are able to provide you with greater accessibility to quality care.