PLAZA DERMATOLOGY SC NPI 1417041963

NPI Information

  • NPI: 1417041963
  • Provider Name: PLAZA DERMATOLOGY, SC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 3508 E MARIA DRIVE
    STEVENS POINT, WI
    ZIP 54481
  • Phone: (715) 344-4573

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NPI Details

PLAZA DERMATOLOGY, SC is a specialist in Stevens Point, WI. 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. PLAZA DERMATOLOGY, SC NPI is 1417041963. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3508 E MARIA DRIVE
STEVENS POINT, WI
ZIP 54481-334
Phone: (715) 344-4573
Fax: (715) 344-4356

The provider's authorized official is Nyles Richard Eskritt .
The authorized official title is President and has the following contact phone number (715) 344-4573.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist16752WISCONSINYes

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: 11/21/2025

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