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ANN ARBOR DERMATOLOGY CLINIC PC NPI 1376765560


NPI Information

NPI: 1376765560
Provider Name: ANN ARBOR DERMATOLOGY CLINIC PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
706 W HURON ST
ANN ARBOR, MI
ZIP 48103
Phone: (734) 996-8757
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ANN ARBOR DERMATOLOGY CLINIC PC is a specialist in Ann Arbor, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ANN ARBOR DERMATOLOGY CLINIC PC NPI is 1376765560. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

706 W HURON ST
ANN ARBOR, MI
ZIP 48103-212
Phone: (734) 996-8757
Fax: (734) 996-8767

The provider's authorized official is Albert Craig Cattell .
The authorized official title is President and has the following contact phone number (734) 996-8757.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 5/12/2008.


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
1174400000XSpecialist4301036627MICHIGANYes

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
10N96800MEDICARE PINMICHIGAN
20M74520MEDICARE PIN
30H11070OTHERMICHIGANBLUE CROSS BLUE SHIELD #
4A78253MEDICARE UPINMICHIGAN
51422078-10MEDICAIDMICHIGAN
6DF9791OTHERPALMETTO GBA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.