Dermatology Center Of Grand Rapids Pc in Grand Rapids - Mohs-micrographic Surgery
Dermatology Center Of Grand Rapids Pc - NPI 1275527053
Dermatology Center Of Grand Rapids Pc is a Mohs-micrographic Surgery in Grand Rapids, Michigan. Dermatology Center Of Grand Rapids Pc practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Dermatology Center Of Grand Rapids Pc is 1275527053. The last update date is 2015-03-06.
Dermatology Center Of Grand Rapids Pc's current location address is 750 E Beltline Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6169429343 and fax number 6169422538. The mailing address for Dermatology Center Of Grand Rapids Pc is 750 E Beltline Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dermatology Center Of Grand Rapids Pc |
|---|---|
| Address | 750 E Beltline Ave Ne, Grand Rapids, Michigan |
| Phone Number | 6169429343 |
| Fax Number | 6169422538 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Vanderveen E Evelyn |
| Credentials | MD |
| Telephone Number | 6169429343 |
NPI Number Detail
| NPI Number | 1275527053 |
|---|---|
| Provider Enumeration Date | 2005-09-07 |
| Last Updated Date | 2015-03-06 |
Provider Mailing Address Detail
| Address | 750 E Beltline Ave Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495256049 |
| Phone Number | 6169429343 |
| Fax Number | 6169422538 |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
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Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
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What is the unique identifier code issued to Dermatology Center Of Grand Rapids Pc by the Centers for Medicare & Medicaid Services?
The Dermatology Center Of Grand Rapids Pc has been assigned the NPI (National Provider Identifier) 1275527053. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Dermatology Center Of Grand Rapids Pc is geographically located?
The Dermatology Center Of Grand Rapids Pc is physically situated at the following location: 750 E Beltline Ave Ne, Grand Rapids, MI, 495256049.
What is Dermatology Center Of Grand Rapids Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dermatology Center Of Grand Rapids Pc is Mohs-micrographic Surgery, and the taxonomy code that classifies this field of practice is 207Nd0101X.
On what date did the Dermatology Center Of Grand Rapids Pc receive its 1275527053 assignment from the Centers for Medicare & Medicaid Services?
The Dermatology Center Of Grand Rapids Pc was assigned its 1275527053 by the Centers for Medicare & Medicaid Services on 2005-09-07.
As of what date was the information regarding Dermatology Center Of Grand Rapids Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Dermatology Center Of Grand Rapids Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-03-06.