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

Integrated Dermatology of Southfield PLLC

Organization Dermatology Physician · NPI 1326920513

Integrated Dermatology of Southfield PLLC provides Dermatology Physician services in Southfield, Michigan. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

29355 Northwestern Hwy Ste 302B
Southfield, MI 48034-1053
Phone: (248) 228-2990
Fax: (248) 281-1764
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 number1326920513
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ania Miller — Director Of Credentialing · (828) 231-9297
NPI enumeratedJuly 21, 2025
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026
Mailing address4700 Exchange Ct Ste 110, Boca Raton, FL 33431-4450

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