institution
Clear The Dermatology Clinic Pc
Medical Physician Assistant in Petoskey, Michigan
NPI 1164874616

Clear The Dermatology Clinic Pc is a Medical Physician Assistant based in Petoskey, MI and is specialized in Medical. Clear The Dermatology Clinic Pc practices in Petoskey, MI. The NPI Number for Clear The Dermatology Clinic Pc is 1164874616 and holds a License No. 4301053221 (Michigan).

The current practice location address for Clear The Dermatology Clinic Pc is 116 W Mitchell St, Petoskey, MI and can be reached out via phone at 231-348-0766.

Location: 116 W Mitchell St, Petoskey, MI, 49770-2357
institution
Provider Profile Details
NPI Number
1164874616
Provider Name
Clear The Dermatology Clinic Pc
Credential
Provider Entity Type
Organization
Address
116 W Mitchell St, Petoskey, MI, 49770-2357
Phone Number
231-348-0766
Fax Number
Provider Enumeration Date
07/08/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
116 W Mitchell St
City
State
Zip
49770-2357
Phone Number
231-348-0766
Fax Number
person
Provider Business Mailing Address Details
Address
116 W Mitchell St
City
State
Zip
49770-2357
Phone Number
231-348-0766
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
5601004147 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
4301053221 (Michigan)
Definition
Definition to come...
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