Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clear the Dermatology Clinic PC

Organization General Practice Physician · NPI 1164874616

Clear the Dermatology Clinic PC provides General Practice Physician services in Petoskey, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

116 W Mitchell St
Petoskey, MI 49770-2357 Not confirmed with CMS for 10 years — call before visiting
Phone: (231) 348-0766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601004147 (MI)
General Practice Physician Taxonomy 208D00000X · Licence 4301053221 (MI)

Record details

NPI number1164874616
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christy Racignol — Billing Coordinator · (231) 348-2828
NPI enumeratedJuly 8, 2016
Last updated in NPPESAugust 2, 2016
Mailing address116 W Mitchell St, Petoskey, MI 49770-2357

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