Blue Skies Dermatology in Saint Clair Shores - Dermatology
Blue Skies Dermatology - NPI 1104090794
Blue Skies Dermatology is a Dermatology in Saint Clair Shores, Michigan. Blue Skies Dermatology practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Blue Skies Dermatology is 1104090794. The last update date is 2008-04-24.
Blue Skies Dermatology's current location address is 29167 Jefferson Ave, Saint Clair Shores, Michigan. You can contact this provider via phone number 5862961301 and fax number 5862961304. The mailing address for Blue Skies Dermatology is 29167 Jefferson Ave, Saint Clair Shores, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Blue Skies Dermatology |
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Address | 29167 Jefferson Ave, Saint Clair Shores, Michigan |
Phone Number | 5862961301 |
Fax Number | 5862961304 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PHYSICIAN |
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Authorized Official Name | Calo Marie Colene |
Credentials | D.O. |
Telephone Number | 5862961301 |
NPI Number Detail
NPI Number | 1104090794 |
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Provider Enumeration Date | 2008-04-15 |
Last Updated Date | 2008-04-24 |
Provider Mailing Address Detail
Address | 29167 Jefferson Ave |
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City | Saint Clair Shores |
State | Michigan (MI) |
Post Code | 480811331 |
Phone Number | 5862961301 |
Fax Number | 5862961304 |
Provider's Primary Taxonomy Detail
Speciality | Dermatology |
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Taxonomy | 207N00000X |
Licence No | 12868 |
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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What is the unique 10-digit identification code issued to Blue Skies Dermatology by the Centers for Medicare & Medicaid Services?
The Blue Skies Dermatology has been assigned the NPI (National Provider Identifier) 1104090794 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Blue Skies Dermatology?
The Blue Skies Dermatology is situated at 29167 Jefferson Ave, in the city of Saint Clair Shores, state of MI, with the zip code 480811331.
What is the area of specialization for Blue Skies Dermatology, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Blue Skies Dermatology is Dermatology, and the corresponding taxonomy code that categorizes this area of expertise is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104090794 to Blue Skies Dermatology?
The Centers for Medicare & Medicaid Services originally issued the 1104090794 to Blue Skies Dermatology on 2008-04-15.
As of what date were the Blue Skies Dermatology's details last updated?
The information pertaining to the Blue Skies Dermatology, including its address, specialty, and other details, was most recently updated on 2008-04-24.
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