METROPOLITAN DERMATOLOGY CENTER P.C. NPI 1962675207

NPI Information

  • NPI: 1962675207
  • Provider Name: METROPOLITAN DERMATOLOGY CENTER, P.C.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 23D2013481
  • Address: 38865 DEQUINDRE RD
    SUITE 104
    TROY, MI
    ZIP 48083
  • Phone: (248) 743-9330

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NPI Details

METROPOLITAN DERMATOLOGY CENTER, P.C. is a specialist in Troy, 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. METROPOLITAN DERMATOLOGY CENTER, P.C. NPI is 1962675207. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

38865 DEQUINDRE RD
SUITE 104
TROY, MI
ZIP 48083-812
Phone: (248) 743-9330
Fax: (248) 743-9332

The provider's authorized official is George P Malick .
The authorized official title is Physician and has the following contact phone number (248) 743-9330.

The CLIA number assigned to this NPI record is 23D2013481 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/8/2008 and was last updated on 4/2/2015.

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
1174400000XSpecialist4301032495MICHIGANYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10705022692OTHERMICHIGANBCBS
21068315MEDICAIDMICHIGAN
3B438080MEDICARE UPIN
44500006MEDICARE PIN

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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