Plaza Dermatology, Sc in Stevens Point - Specialist
Plaza Dermatology, Sc - NPI 1417041963
Plaza Dermatology, Sc is a Specialist in Stevens Point, Wisconsin. Plaza Dermatology, Sc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Plaza Dermatology, Sc is 1417041963. The last update date is 2020-08-22.
Plaza Dermatology, Sc's current location address is 3508 E Maria Drive, Stevens Point, Wisconsin. You can contact this provider via phone number 7153444573 and fax number 7153444356. The mailing address for Plaza Dermatology, Sc is 3508 E Maria Drive, Stevens Point, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Plaza Dermatology, Sc |
|---|---|
| Address | 3508 E Maria Drive, Stevens Point, Wisconsin |
| Phone Number | 7153444573 |
| Fax Number | 7153444356 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Eskritt Richard Nyles |
| Credentials | M.D. |
| Telephone Number | 7153444573 |
NPI Number Detail
| NPI Number | 1417041963 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3508 E Maria Drive |
|---|---|
| City | Stevens Point |
| State | Wisconsin (WI) |
| Post Code | 544811334 |
| Phone Number | 7153444573 |
| Fax Number | 7153444356 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 16752 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Post Comment/ Review Below
What is the Plaza Dermatology, Sc's unique identification number?
The Plaza Dermatology, Sc has been assigned the NPI (National Provider Identifier) Number 1417041963 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Plaza Dermatology, Sc is physically located?
The Plaza Dermatology, Sc is physically situated at the following address: 3508 E Maria Drive, Stevens Point, WI, 544811334.
What is Plaza Dermatology, Sc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Plaza Dermatology, Sc is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1417041963 to Plaza Dermatology, Sc?
The Plaza Dermatology, Sc received its 1417041963 assignment from the Centers for Medicare & Medicaid Services on 2006-10-02.
As of what date were the details pertaining to Plaza Dermatology, Sc last refreshed?
The information related to the Plaza Dermatology, Sc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.