NPI 1982855110

Michelle Sue Legacy, DO

Practitioner Dermatology Physician Waterford, MI

Practice location

Address: 1392 S Cass Lake Rd, Waterford, MI 48328-4741
Phone: (248) 338-6400

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence MI5101017676 (MI)

Other Dermatology providers in Michigan →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 5101017676 (MI)

Registry record

NPI: 1982855110
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Oct 2008
Record last updated: 21 Aug 2025

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.