MR. MICHAEL BRENT DREIFKE (NPI# 1285976209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285976209 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL BRENT DREIFKE |
| Credential | M.D. |
| Practice Address |
1300 S Green Bay Rd Ste 100 Mount Pleasant WI 53406 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 2626194191 |
| Practice Fax Number | 2626345185 |
| Mailing Telephone | 9206639008 |
| Mailing Fax Number | 9206841439 |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2018-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 69757-20 | WI | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 4301113641 | MI | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 125063100 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 990 W Ann Arbor Trl Ste 205, Plymouth, MI 481701686 | 7344556881 | 7344556891 |
| 7200 Washington Ave Ste 100, Mount Pleasant, WI 534066516 | 2628984400 | 2628984424 |
| 706 W Huron St, Ann Arbor, MI 481034212 | 7349968757 | 7349968767 |
| Street Address |
1300 S GREEN BAY RD STE 100 |
| City | MOUNT PLEASANT |
| State | WI |
| Zip Code | 53406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| 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 |
|---|---|---|---|---|
| 1750308219 | Marguerite A Germain | Dermatology | 612 Seacoast Pkwy, Suite 201, Mount Pleasant, SC 29464-8247 | 2006-07-17 |
| 1427058619 | Anthony V Greco | Dermatology | 108 Pleasant St, Mount Pleasant, TX 75455-5322 | 2005-07-28 |
| 1265798060 | Dana M Griffin | Dermatology | 8400 Washington Ave, Mount Pleasant, WI 53406-3735 | 2012-04-05 |
| 1962730085 | India Ashton Miller Rountree | Dermatology | 612 Seacoast Pkwy, Mount Pleasant, SC 29464 | 2009-12-01 |
| 1134360357 | East Coast Dermatology | Dermatology | 1300 Hospital Dr, Suite 310, Mount Pleasant, SC 29464-3261 | 2009-03-18 |
| 1164690822 | Coastal Dermatology, LLC | Dermatology | 999 Lake Hunter Cir, Mount Pleasant, SC 29464-5427 | 2008-02-15 |
| 1154504017 | Platina Coy Gershtenson | Dermatology | 1300 S Green Bay Rd, Suite 100, Mount Pleasant, WI 53406-4469 | 2007-12-13 |
| 1851467047 | Great Lakes Dermatology Sc | Dermatology | 6233 Bankers Rd, Suite 3, Mount Pleasant, WI 53403-9700 | 2006-11-28 |
| 1235219692 | Emily Cox Kmetz | Dermatology | 612 Seacoast Pkwy, Mount Pleasant, SC 29464-8247 | 2006-10-17 |
| 1851315733 | Ronald L. Smits | Dermatology | 6233 Bankers Rd, Ste 3, Mount Pleasant, WI 53403-9700 | 2006-07-26 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 53406 |
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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.