Fred Mark Novice in Bloomfield Hills - Dermatology

Fred Mark Novice - NPI 1265517635

Fred Mark Novice is a Dermatology in Bloomfield Hills, Michigan. Fred Mark Novice practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Fred Mark Novice is 1265517635. The last update date is 2011-10-04.

Fred Mark Novice's current location address is 7456 Paddlewheel Crt, Bloomfield Hills, Michigan. You can contact this provider via phone number 2489323376 and fax number 2489321046. The mailing address for Fred Mark Novice is 7456 Paddlewheel Crt, Bloomfield Hills, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Fred Mark Novice
Address 7456 Paddlewheel Crt, Bloomfield Hills, Michigan
Phone Number 2489323376
Fax Number 2489321046
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1265517635
Provider Enumeration Date 2006-10-26
Last Updated Date 2011-10-04

Provider Mailing Address Detail

Address 7456 Paddlewheel Crt
City Bloomfield Hills
State Michigan (MI)
Post Code 48301
Phone Number 2489323376
Fax Number 2489321046

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No 4301406190
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6392341 BS

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FAQs about Fred Mark Novice

What is the unique 10-digit identification code assigned to Fred Mark Novice by the Centers for Medicare & Medicaid Services?

The Fred Mark Novice has been issued the NPI (National Provider Identifier) 1265517635, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Fred Mark Novice is located?

The Fred Mark Novice is situated at the following address: 7456 Paddlewheel Crt, Bloomfield Hills, MI, 48301.

What is Fred Mark Novice's area of expertise and its corresponding taxonomy classification?

The Fred Mark Novice's field of specialization is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Fred Mark Novice receive the assignment of its 1265517635 from the Centers for Medicare & Medicaid Services?

The Fred Mark Novice was issued its 1265517635 by the Centers for Medicare & Medicaid Services on 2006-10-26.

As of what date was the information regarding Fred Mark Novice, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Fred Mark Novice, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-10-04.

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