location
search-icon
institution
Northern Indiana Dermatology And Skin Surgery Center
MOHS-Micrographic Surgery Physician in Portage, Indiana
NPI 1639289093

Northern Indiana Dermatology And Skin Surgery Center is a MOHS-Micrographic Surgery Physician based in Portage, IN and is specialized in MOHS-Micrographic Surgery. Northern Indiana Dermatology And Skin Surgery Center practices in Portage, IN. The NPI Number for Northern Indiana Dermatology And Skin Surgery Center is 1639289093 and holds a License No. 207N00000X (Indiana).

The current practice location address for Northern Indiana Dermatology And Skin Surgery Center is 3190 Lancer St, Portage, IN and can be reached out via phone at 219-764-3600 and via fax at 219-764-3661.

Location: 3190 Lancer St, Portage, IN, 46368-4488
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639289093
Provider Name
Northern Indiana Dermatology And Skin Surgery Center
Credential
Provider Entity Type
Organization
Address
3190 Lancer St, Portage, IN, 46368-4488
Phone Number
219-764-3600
Fax Number
219-764-3661
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000000350979 01 IN ANTHEM
institution
Provider Business Practice Location Address Details
Address
3190 Lancer St
City
Portage
State
Indiana
Zip
46368-4488
Phone Number
219-764-3600
Fax Number
219-764-3661
person
Provider Business Mailing Address Details
Address
3190 Lancer St
City
Portage
State
Indiana
Zip
46368-4488
Phone Number
219-764-3600
Fax Number
219-764-3661
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
MOHS-Micrographic Surgery
Taxonomy
207ND0101X
License No.
207N00000X (Indiana)
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.