NPI 1477841245

Jennifer Caudill, MD PLLC

Organisation Dermatology Physician Clarkston, MI

Practice location

Address: 5885 S Main St STE 1, Clarkston, MI 48346-2981
Phone: (248) 623-9700
Fax: (248) 623-8996

Authorised official

Name: Alisha Palermino
Title: Practice Manager
Phone: (248) 623-9700

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 4301 086079 (MI)

Other Dermatology providers in Michigan →

Registry record

NPI: 1477841245
Entity type: Organization
NPI issued: 14 Jul 2011
Record last updated: 28 Jun 2021

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.