Stiff, Mark Allyn

Stiff, Mark Allyn is an sole proprietor health care provider with primary practice located at 26400 W 12 Mile Rd Suite 180, Southfield MI 48034-1700. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Stiff, Mark Allyn can be contacted via phone (248) 355-5047.

Contact Information

Primary practice address
26400 W 12 Mile Rd Suite 180 Southfield MI 48034-1700
Phone: (248) 355-5047
Fax: (248) 355-3511
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 4301052816 Michigan
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 4301052816 Michigan
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4301052816 Michigan
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 4301052816 Michigan

Profile Details

NPI number 1154368165
LBN Legal business name Stiff, Mark Allyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2006
Last updated Sep 17th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154368165 NPPES
Michigan MEDICAID 3341836

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