NPI 1275527053

Dermatology Center of Grand Rapids PC

Organisation Dermatology Physician Grand Rapids, MI

Practice location

Address: 750 E Beltline Ave NE Suite 301, Grand Rapids, MI 49525-6049
Phone: (616) 942-9343
Fax: (616) 942-2538

Authorised official

Name: Evelyn E Vanderveen
Title: President
Phone: (616) 942-9343

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

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MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

Registry record

NPI: 1275527053
Entity type: Organization
NPI issued: 7 Sep 2005
Record last updated: 6 Mar 2015

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.