NPI 1881371946

Main Street Dermatology, PLLC

Organisation Dermatology Physician Clarkston, MI

Practice location

Address: 5885 S Main St STE 1, Clarkston, MI 48346-2981
Phone: (248) 238-8059

Authorised official

Name: Kenzie Gardner
Title: Nurse Practitioner, Operator
Phone: (614) 507-3765

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Michigan →

Registry record

NPI: 1881371946
Entity type: Organization
NPI issued: 30 Jun 2023
Record last updated: 3 Aug 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.