DR. BRYAN DANIEL SOFEN (NPI# 1043452139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043452139 |
| Entity Type | Individual |
| Full Name | DR. BRYAN DANIEL SOFEN |
| Credential | M.D. |
| Practice Address |
43151 Dalcoma Dr Ste 4 Clinton Township MI 48038-6306 |
| Practice Telephone | 5862868720 |
| Practice Fax Number | 5866496699 |
| Mailing Telephone | 5862868720 |
| Mailing Fax Number | 5866496699 |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2020-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 4301113046 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2950 Keewahdin Rd, Fort Gratiot, MI 480593526 | 8104551600 | 8104551620 |
| Street Address |
43151 DALCOMA DR STE 4 |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48038-6306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1588224570 | Karrie Marie Armstrong | Social Worker | 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 | 2019-06-20 |
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1730677592 | Najoi Sleiman | Physical Medicine & Rehabilitation | 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 | 2018-04-27 |
| 1295230365 | David Michael Ragbeer | Emergency Medicine | Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2018-03-29 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1689175002 | Melissa Velez Miracle | Speech-Language Pathologist | 38809 Windmill Pointe W, Clinton Twp, MI 48038 | 2018-02-21 |
| Find all providers in zip 48038 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427102466 | Lenise Anne Banse | Dermatology | 42452 Hayes Rd, Suite 3, Clinton Township, MI 48038-6771 | 2007-01-23 |
| 1477535631 | Fiorino M Digregorio | Dermatology | 16510 19 Mile Rd, Clinton Township, MI 48038-1106 | 2005-11-15 |
| 1730179946 | Jeffrey M Shuster | Dermatology | 42633 Garfield Rd, Suite 319, Clinton Township, MI 48038-5033 | 2005-10-27 |
| 1326048554 | Cynthia Tseng Chow | Dermatology | 43151 Dalcoma Dr Ste 1, Clinton Township, MI 48038-6306 | 2005-07-29 |
| 1235133703 | Mary Georgia Veremis-ley | Dermatology | 43900 Garfield Rd, Ste 100, Clinton Township, MI 48038-1137 | 2005-06-13 |
| 1629497409 | Megan Hribernik | Dermatology | 43151 Dalcoma Dr, Suite 1, Clinton Township, MI 48038-6306 | 2014-04-09 |
| 1720417074 | Nada Chamel Macaron | Dermatology | 43151 Dalcoma Dr, Clinton Township, MI 48038-6306 | 2013-11-07 |
| 1992069462 | Rohit Kakar | Dermatology | 43151 Dalcoma Dr Ste 1, Clinton Township, MI 48038-6306 | 2012-06-29 |
| 1750514865 | Heather Helena Kiraly Orkwis | Dermatology | 43900 Garfield Rd Ste 100, Clinton Township, MI 48038-1137 | 2009-08-24 |
| 1215144217 | Jennifer L Rivard | Dermatology | 43151 Dalcoma Dr, Suite 3, Clinton Township, MI 48038-6306 | 2007-05-17 |
| Find all providers in CLINTON TOWNSHIP | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48038 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.