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SAGINAW VALLEY DERMATOLOGY PC NPI 1841252855


NPI Information

NPI: 1841252855
Provider Name: SAGINAW VALLEY DERMATOLOGY PC
Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 23D0891054

Address:
4705 TOWNE CENTRE RD
SUITE 301
SAGINAW, MI
ZIP 48604
Phone: (989) 793-6505
Get Directions

SAGINAW VALLEY DERMATOLOGY PC is a dermatology in Saginaw, MI. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. SAGINAW VALLEY DERMATOLOGY PC NPI is 1841252855. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4705 TOWNE CENTRE RD
SUITE 301
SAGINAW, MI
ZIP 48604-818
Phone: (989) 793-6505
Fax: (989) 793-7411

The provider's authorized official is David Brian O'donnell .
The authorized official title is President and has the following contact phone number (989) 793-6505.

The CLIA number assigned to this NPI record is 23D0891054 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/5/2006 and was last updated on 5/27/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0101XDermatologyMOHS-Micrographic SurgeryDO049303MICHIGANNo
2207NI0002XDermatologyClinical & Laboratory Dermatological ImmunologyDO049303MICHIGANNo
3207ND0900XDermatologyDermatopathologyDO049303MICHIGANNo
4207NS0135XDermatologyProcedural DermatologyDO049303MICHIGANNo
5207N00000XDermatologyDO049303MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F07623MEDICARE UPINMICHIGAN
2103082897MEDICAIDMICHIGAN
3070006809OTHERMICHIGANRAILROAD MEDICARE
40P56740MEDICARE PINMICHIGAN
50707324351OTHERMICHIGANBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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