Greater Michigan Dermatology, Pllc

LBN: Greater Michigan Dermatology, Pllc
Greater Michigan Dermatology, Pllc is an health care organization with primary practice located at 849 Health Park Blvd , Grand Blanc MI 48439-7383. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Greater Michigan Dermatology, Pllc can be contacted via phone (810) 498-4354, or through Lawrence, Kelsey via phone (810) 498-4354.

Contact Information

Primary practice address
849 Health Park Blvd Grand Blanc MI 48439-7383
Phone: (810) 498-4354
Fax: (810) 498-4355
Website:
Map and Directions
Authorized official contact:
Name: Lawrence, Kelsey Doctor of Medicine (MD)
Phone: (810) 498-4354

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1700429685
LBN Legal business name Greater Michigan Dermatology, Pllc
DBA Doing business as
Authorized official Lawrence, Kelsey Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2019
Last updated May 24th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700429685 NPPES
Michigan Other 1225410756 NPI

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