Kalamazoo Dermatology, P.c.

NPI 1073607925 - Dermatology - 207N00000X

NPI Details
NPI 1073607925
Enumeration Date 10/03/2006
Last Updated 01/29/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LORI LORI
Position PRACTICE MANAGER
Phone (269) 343-4679
Fax (269) 343-5929
Practice Location
6100 NEWPORT RD
STE 100
PORTAGE MI, 49002-9235, US
Phone (269) 343-4679
Fax (269) 343-5929
Business Location
6100 NEWPORT RD
STE 100
PORTAGE MI, 49002-9235, US
Phone (269) 343-4679
Fax (269) 343-5929
Toxanomy
Taxonomy Code 207N00000X
License State
License Number
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According to our database, Kalamazoo Dermatology, P.c. NPI is 1073607925, taxonomy code is 207N00000X Kalamazoo Dermatology, P.c. physically located at 6100 Newport Rd, Portage MI, 49002-9235. NPI Number 1033115704 has the healthcare provider type.

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1073607925 NPI number is provided on an as is basis without warranty of any kind. 1073607925 is maintained by the National Plan & Provider Enumeration System. The contents of Kalamazoo Dermatology, P.c. are for informational purposes only.