Associates In Dermatology Of Traverse City Pc in Traverse City - Dermatopathology

Associates In Dermatology Of Traverse City Pc - NPI 1861430779

Associates In Dermatology Of Traverse City Pc is a Dermatopathology in Traverse City, Michigan. Associates In Dermatology Of Traverse City Pc practices all healthcare services and medical treatments related to Dermatopathology. The NPI Number for Associates In Dermatology Of Traverse City Pc is 1861430779. The last update date is 2007-10-25.

Associates In Dermatology Of Traverse City Pc's current location address is 3643 W Front St, Traverse City, Michigan. You can contact this provider via phone number 2319350625 and fax number 2319350626. The mailing address for Associates In Dermatology Of Traverse City Pc is 3643 W Front St, Traverse City, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Associates In Dermatology Of Traverse City Pc
Address 3643 W Front St, Traverse City, Michigan
Phone Number 2319350625
Fax Number 2319350626
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Griner Michelle Joan
Credentials MD
Telephone Number 2319350625

NPI Number Detail

NPI Number 1861430779
Provider Enumeration Date 2006-06-03
Last Updated Date 2007-10-25

Provider Mailing Address Detail

Address 3643 W Front St
City Traverse City
State Michigan (MI)
Post Code 496847760
Phone Number 2319350625
Fax Number 2319350626

Provider's Primary Taxonomy Detail

Speciality Dermatopathology
Taxonomy 207Nd0900X
Licence No JG058054
Definition:
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellul

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DF3512 MI RAILROAD MEDICARE

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FAQs about Associates In Dermatology Of Traverse City Pc

What is the unique identifier code issued to Associates In Dermatology Of Traverse City Pc by the Centers for Medicare & Medicaid Services (CMS)?

The Associates In Dermatology Of Traverse City Pc has been assigned the NPI (National Provider Identifier) 1861430779. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Associates In Dermatology Of Traverse City Pc is located?

The Associates In Dermatology Of Traverse City Pc is situated at the following address: 3643 W Front St, Traverse City, MI, 496847760.

What is Associates In Dermatology Of Traverse City Pc's area of expertise and its corresponding taxonomy classification?

The Associates In Dermatology Of Traverse City Pc's field of specialization is Dermatopathology, and it falls under the taxonomy code 207Nd0900X, which categorizes healthcare providers based on their areas of practice.

When did Associates In Dermatology Of Traverse City Pc receive its 1861430779 assignment?

The Associates In Dermatology Of Traverse City Pc was assigned its 1861430779 on 2006-06-03, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Associates In Dermatology Of Traverse City Pc most recently updated or revised?

The details related to Associates In Dermatology Of Traverse City Pc, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-25.

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