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

Family Dermatology Center, PC

Organization Dermatology Physician · NPI 1073792917

Family Dermatology Center, PC provides Dermatology Physician services in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
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

20555 W 12 Mile Rd
Southfield, MI 48076 Not confirmed with CMS for 18 years — call before visiting
Phone: (248) 354-9595
Fax: (248) 354-9598
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 4301038363 (MI)

Record details

NPI number1073792917
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carol Prince — President · (248) 354-9595
NPI enumeratedOctober 29, 2007
Last updated in NPPESOctober 29, 2007
Mailing addressP.O. Box 3532, Southfield, MI 48037

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