Koger Dermatology P.C. in Royal Oak - Dermatology
Koger Dermatology P.C. - NPI 1942370507
Koger Dermatology P.C. is a Dermatology in Royal Oak, Michigan. Koger Dermatology P.C. practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Koger Dermatology P.C. is 1942370507. The last update date is 2020-08-22.
Koger Dermatology P.C.'s current location address is 30301 Woodward Ave Ste 120, Royal Oak, Michigan. You can contact this provider via phone number 2484356622 and fax number 2484357453. The mailing address for Koger Dermatology P.C. is 30301 Woodward Ave Ste 120, Royal Oak, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Koger Dermatology P.C. |
|---|---|
| Address | 30301 Woodward Ave Ste 120, Royal Oak, Michigan |
| Phone Number | 2484356622 |
| Fax Number | 2484357453 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Koger Wilson O'Neal |
| Credentials | M.D. |
| Telephone Number | 2484356622 |
NPI Number Detail
| NPI Number | 1942370507 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 30301 Woodward Ave Ste 120 |
|---|---|
| City | Royal Oak |
| State | Michigan (MI) |
| Post Code | 480730981 |
| Phone Number | 2484356622 |
| Fax Number | 2484357453 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 4301053536 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 070F37332 | MI | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Koger Dermatology P.C.?
The Koger Dermatology P.C. has been issued the NPI (National Provider Identifier) 1942370507 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Koger Dermatology P.C. located?
The Koger Dermatology P.C. is located at 30301 Woodward Ave Ste 120, Royal Oak, MI 480730981.
What is Koger Dermatology P.C.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Koger Dermatology P.C. is Dermatology, and the taxonomy code that classifies this field of practice is 207N00000X.
When was the Koger Dermatology P.C.'s 1942370507 issued?
The Koger Dermatology P.C.'s 1942370507 was issued on 2006-11-09.
When was the information regarding Koger Dermatology P.C., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Koger Dermatology P.C., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.