NPI 1093913204

Manistee Dermatology

Organisation Legal Medicine Manistee, MI

Practice location

Address: 1293 E Parkdale Ave Suite 2500, Manistee, MI 49660-8904
Phone: (231) 398-1700
Fax: (231) 398-1709
Mailing address: 2138 Reliable Pkwy, Chicago, IL 60686-0001

Authorised official

Name: Stephanie Dawn Neider
Title: Doctor
Phone: (231) 398-1700

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence 4301086785 (MI)

Other Legal Medicine providers in Michigan →

Registry record

NPI: 1093913204
Entity type: Organization
NPI issued: 10 Jul 2007
Record last updated: 10 Feb 2012

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.