Clarkston Dermatology & Vein Center Pllc
LBN: Clarkston Dermatology & Vein Center Pllc
Clarkston Dermatology & Vein Center Pllc is an health care organization with primary practice located at 5701 Bow Pointe Dr Suite 215, Clarkston MI 48346-3198. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty.
Clarkston Dermatology & Vein Center Pllc can be contacted via phone (248) 620-3376, or through Mcfalda, Wendy L via phone (248) 620-3376.
Contact Information
Primary practice address
5701 Bow Pointe Dr Suite 215
Clarkston MI 48346-3198
Phone: (248) 620-3376
Fax: (248) 620-3379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 5101014699 | Michigan |
Profile Details
| NPI number | 1003943408 |
|---|---|
| LBN Legal business name | Clarkston Dermatology & Vein Center Pllc |
| DBA Doing business as | |
| Authorized official | Mcfalda, Wendy L Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jun 8th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003943408 | NPPES |
| Michigan | Other | 0756301335 | BLUE CARE NETWORK |
| Michigan | Other | 0P14750 | BLUE CARE NETWORK |
| Michigan | Other | DD8092 | BLUE CARE NETWORK |
| Michigan | Other | 0756301335 | BLUE CARE NETWORK |
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