Saginaw Valley Dermatology Pc in Saginaw - Clinical & Laboratory Dermatological Immunology

Saginaw Valley Dermatology Pc - NPI 1841252855

Saginaw Valley Dermatology Pc is a Clinical & Laboratory Dermatological Immunology in Saginaw, Michigan. Saginaw Valley Dermatology Pc practices all healthcare services and medical treatments related to Clinical & Laboratory Dermatological Immunology. The NPI Number for Saginaw Valley Dermatology Pc is 1841252855. The last update date is 2008-05-27.

Saginaw Valley Dermatology Pc's current location address is 4705 Towne Centre Rd, Saginaw, Michigan. You can contact this provider via phone number 9897936505 and fax number 9897937411. The mailing address for Saginaw Valley Dermatology Pc is 4705 Towne Centre Rd, Saginaw, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Saginaw Valley Dermatology Pc
Address 4705 Towne Centre Rd, Saginaw, Michigan
Phone Number 9897936505
Fax Number 9897937411
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name O'Donnell Brian David
Credentials M.D.
Telephone Number 9897936505

NPI Number Detail

NPI Number 1841252855
Provider Enumeration Date 2006-04-05
Last Updated Date 2008-05-27

Provider Mailing Address Detail

Address 4705 Towne Centre Rd
City Saginaw
State Michigan (MI)
Post Code 486042818
Phone Number 9897936505
Fax Number 9897937411

Provider's Primary Taxonomy Detail

Speciality Clinical & Laboratory Dermatological Immunology
Taxonomy 207Ni0002X
Licence No DO049303
Definition:
A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
70006809 MI RAILROAD MEDICARE
707324351 MI BLUE CROSS BLUE SHIELD
103082897 MI --

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FAQs about Saginaw Valley Dermatology Pc

What is the unique 10-digit identification code assigned to Saginaw Valley Dermatology Pc by the Centers for Medicare & Medicaid Services?

The Saginaw Valley Dermatology Pc has been issued the NPI (National Provider Identifier) 1841252855, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Saginaw Valley Dermatology Pc's physical address?

The Saginaw Valley Dermatology Pc is physically located at 4705 Towne Centre Rd, in the city of Saginaw, MI, with the postal code 486042818.

What is Saginaw Valley Dermatology Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Saginaw Valley Dermatology Pc is Clinical & Laboratory Dermatological Immunology, and the taxonomy code that categorizes this field of expertise is 207Ni0002X.

On what date did the Saginaw Valley Dermatology Pc receive its 1841252855 assignment from the Centers for Medicare & Medicaid Services?

The Saginaw Valley Dermatology Pc was assigned its 1841252855 by the Centers for Medicare & Medicaid Services on 2006-04-05.

When was the information related to Saginaw Valley Dermatology Pc most recently updated or refreshed?

The details pertaining to the Saginaw Valley Dermatology Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-27.

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