NPI 1396745055

Psoriasis and Eczema Treatment Center of Western Michigan PLLC

Organisation Dermatology Physician Grand Rapids, MI

Practice location

Address: 833 Michigan St NE Suite 102, Grand Rapids, MI 49503-3523
Phone: (616) 459-8209
Fax: (616) 459-0313

Authorised official

Name: Marek a Stawiski
Title: Physician
Phone: (616) 459-8209

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Michigan →

Registry record

NPI: 1396745055
Entity type: Organization
NPI issued: 26 Jul 2005
Record last updated: 22 Mar 2018

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.