Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Advanced Dermatology of Michigan, PC

Organization Dermatology Physician · NPI 1770973612

Advanced Dermatology of Michigan, PC provides Dermatology Physician services in Warren, Michigan. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

13450 E 12 Mile Rd
Warren, MI 48088-3671 Not confirmed with CMS for 11 years — call before visiting
Phone: (586) 759-5525
Fax: (586) 759-4022
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1770973612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Declue — Director, Provider Services · (407) 875-2080
NPI enumeratedJanuary 30, 2015
Last updated in NPPESJanuary 30, 2015
Mailing address151 Southhall Ln, Ste 300, Maitland, FL 32751-7176

Other providers in Warren