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CONCIERGE DERMATOLOGY & SKIN SURGERY CENTER NPI 1417442898


NPI Information

NPI: 1417442898
Provider Name: CONCIERGE DERMATOLOGY & SKIN SURGERY CENTER
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 23D2256333

Address:
500 CAMPUS DR
HANCOCK, MI
ZIP 49930
Phone: (906) 362-7546
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CONCIERGE DERMATOLOGY & SKIN SURGERY CENTER is a mohs-micrographic surgery dermatology in Hancock, MI. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. CONCIERGE DERMATOLOGY & SKIN SURGERY CENTER NPI is 1417442898. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

500 CAMPUS DR
HANCOCK, MI
ZIP 49930
Phone: (906) 362-7546
Fax: (413) 269-8079

The provider's authorized official is Mercy A Odueyungbo .
The authorized official title is Authorized Official and has the following contact phone number (906) 362-7546.

The CLIA number assigned to this NPI record is 23D2256333 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/27/2018 and was last updated on 10/31/2018.


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
1207ND0101XDermatologyMOHS-Micrographic SurgeryMICHIGANYes

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: 5/5/2024

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