MICHIGAN SKIN CLINICS PC (NPI# 1275985855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275985855 |
| Entity Type | Organization |
| Organization Name | MICHIGAN SKIN CLINICS PC |
| Practice Address |
4798 Wenmar Dr Saginaw MI 48604 |
| Mailing Address |
3785 Bay Rd Saginaw MI 48603 |
| Practice Telephone | 9894013747 |
| Practice Fax Number | 9893415073 |
| Mailing Telephone | 9897912455 |
| Mailing Fax Number | 9897911392 |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2019-11-06 |
| Authorized Official Name | DR. DAVID L STOCKMAN (PRESIDENT) |
| Authorized Official Telephone | 9894013747 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 4301108678 | MI | Allopathic & Osteopathic Physicians |
| N | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
4301108678 | MI | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
4301108678 | MI | Allopathic & Osteopathic Physicians |
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
4301108678 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 251 N Rose St Ste 200, Kalamazoo, MI 490073860 | 3132464615 | 8889605110 |
| Street Address |
4798 WENMAR DR |
| City | SAGINAW |
| State | MI |
| Zip Code | 48604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477603421 | Diane M. Kukulis | Social Worker | 4798 Wenmar Dr, Saginaw, MI 48604-2843 | 2007-01-11 |
| 1538538178 | Specialized Pathology Partners PC | Dermatology | 4798 Wenmar Dr, Saginaw, MI 48604-2843 | 2015-09-24 |
| 1407086424 | David L. Stockman | Dermatology | 4798 Wenmar Dr, Saginaw, MI 48604-2843 | 2009-07-24 |
| 1407902158 | Gregory E Borgerson | Psychologist | 4798 Wenmar Dr, Saginaw, MI 48604-2843 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090318 | Paulette Marie Giltrop | Technician | 2930 Eddy St, Saginaw, MI 48604 | 2019-09-03 |
| 1821419797 | Kathleen Klonowski, Dds and Ashly Bailey, Dds, Plc | Clinic/Center | 4685 E. Mcleod Dr., Saginaw, MI 48604 | 2013-12-19 |
| 1245508811 | Universal Health Group, Inc | Chiropractor | 4700 East Mcleod, Saginaw, MI 48604 | 2011-12-09 |
| 1982980751 | Vivid Idea Rehab | Home Health | 2101 West Stoker Dr, Saginaw, MI 48604 | 2011-10-25 |
| 1518266683 | Rashad H Leflore | Driver | 1293 Tittabawassee Rd Apt G, Saginaw, MI 48604 | 2011-03-15 |
| 1033392089 | Raquel N. Dorin | Physical Therapist | 2716 Liberty, Saginaw, MI 48604 | 2007-12-13 |
| 1760604854 | Matthew Thomas Kisabeth | Optometrist | 5650 Bay Road, Saginaw, MI 48604 | 2007-05-02 |
| 1861613556 | Loretta O'donnell | Pathology | 4705 Towne Centre Road, Suite 301, Saginaw, MI 48604 | 2007-05-01 |
| 1265652325 | Tracey M Mallek | Physical Therapist | 4901 Town Center Rd, Suite 300, Saginaw, MI 48604 | 2007-04-30 |
| 1588783062 | Harprabhjit Singh | Internal Medicine | 4680 Mcleod Dr E., Saginaw, MI 48604 | 2007-03-28 |
| Find all providers in zip 48604 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538538178 | Specialized Pathology Partners PC | Dermatology | 4798 Wenmar Dr, Saginaw, MI 48604-2843 | 2015-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114489945 | Novice Aesthetics and Dermatology Pllc | Dermatology | 4120 W Maple Rd Ste 206, Bloomfield Hills, MI 48301-3068 | 2019-04-01 |
| 1962585596 | Wei Su | Dermatology | 43900 Garfield Rd Ste 100, Clinton Township, MI 48038-1137 | 2006-10-24 |
| 1629090691 | Janine Mangini | Dermatology | 16520 19 Mile Rd, Clinton Twp, MI 48038-1106 | 2006-07-25 |
| 1619909611 | Nicole M. Bossenbroek | Dermatology | 6225 Prairie St, Norton Shores, MI 49444-7831 | 2006-07-07 |
| 1104874411 | S L Husain Hamzavi | Dermatology | 43151 Dalcoma Dr, Suite 1, Clinton Twp, MI 48038-6306 | 2006-05-05 |
| 1528052834 | John Michael Pelachyk | Dermatology | 1602 Military St, Port Huron, MI 48060-5933 | 2005-09-01 |
| 1528599750 | Singer Dermatology | Dermatology | 29355 Northwestern Hwy, 302, Southfield, MI 48034-1053 | 2017-03-21 |
| 1255724100 | West Michigan Pathology Specialists, PC | Dermatology | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2015-03-16 |
| 1760812523 | Scott Conley Bresler | Dermatology | 1500 E Medical Center Dr, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109-5054 | 2013-11-14 |
| 1053547885 | Liaqat Ali | Dermatology | 1314 N Macomb St, Monroe, MI 48162-3131 | 2009-06-08 |
| Find all providers with the same taxonomy | ||||
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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.