NPI 1003460874

Derm Institute of West Michigan Plc

Organisation Dermatology Physician Caledonia, MI

Practice location

Address: 1661 Crystal Springs Blvd SE, Caledonia, MI 49316-4931
Phone: (616) 326-0114
Fax: (616) 369-3790
Mailing address: 7234 Tory Dr, Hudsonville, MI 49426-9066

Authorised official

Name: Kristi Beth Hawley
Title: Sole Mbr
Phone: (740) 606-7403

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Michigan →

Registry record

NPI: 1003460874
Entity type: Organization
NPI issued: 30 Jul 2019
Record last updated: 27 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.