NPI 1205836962

Dipa Suman Patel, MD

Practitioner Dermatology Physician Grand Rapids, MI

Practice location

Address: 555 Midtowne St NE Suite 301, Grand Rapids, MI 49503-5729
Phone: (616) 248-8864
Fax: (616) 248-8874

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 4301067695 (MI)

Other Dermatology providers in Michigan →

Registry record

NPI: 1205836962
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jul 2005
Record last updated: 18 Mar 2024

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.