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

Cosmetic Skin and Laser Center

Organization General Practice Physician · NPI 1811139082

Cosmetic Skin and Laser Center provides General Practice Physician services in Petoskey, Michigan. Licensed in Michigan. Registered with an NPI since 2009.

Licensed in
MI
In the registry since
2009

Practice location Address checks out

116 W Mitchell St
Petoskey, MI 49770-2324 Not confirmed with CMS for 17 years — call before visiting
Phone: (231) 347-7395
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence GL053321 (MI)

Record details

NPI number1811139082
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gustav Lo — Owner · (231) 347-7395
NPI enumeratedApril 2, 2009
Last updated in NPPESApril 2, 2009
Mailing address116 W Mitchell St, Petoskey, MI 49770-2324

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