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

Northwestern Michigan Dermatology PC

Organization Dermatology Physician · NPI 1952410094

Northwestern Michigan Dermatology PC provides Dermatology Physician services in Traverse City, Michigan. Registered with an NPI since 2006.

In the registry since
2006
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

550 Munson Ave Ste 200
Traverse City, MI 49686-3580 Not confirmed with CMS for 11 years — call before visiting
Phone: (231) 935-8717
Fax: (231) 935-9230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1952410094
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Carroll — Secretary · (231) 935-8717
NPI enumeratedAugust 30, 2006
Last updated in NPPESSeptember 28, 2015
Mailing address550 Munson Ave, Suite 200, Traverse City, MI 49686-3580

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