Lake Michigan Dermatology Pllc

LBN: Lake Michigan Dermatology Pllc
Lake Michigan Dermatology Pllc is an health care organization with primary practice located at 1148 Washington Ave Ste 20 , Holland MI 49423-7728. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Lake Michigan Dermatology Pllc can be contacted via phone (616) 499-4844, or through Berger, Anthony via phone (616) 499-4844.

Contact Information

Primary practice address
1148 Washington Ave Ste 20 Holland MI 49423-7728
Phone: (616) 499-4844
Fax: (616) 499-4847
Website:
Map and Directions
Authorized official contact:
Name: Berger, Anthony MD MPH
Phone: (616) 499-4844

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1235863978
LBN Legal business name Lake Michigan Dermatology Pllc
DBA Doing business as
Authorized official Berger, Anthony MD MPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2022
Last updated Mar 13th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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