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Contact Information

RIVER CITY DERMATOLOGY PLLC
6741 FULTON ST E
ADA, MI49301
 Phone: 616-320-5450
 Fax: 616-320-0165
 Website: http://www.rivercityderm.com
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for RIVER CITY DERMATOLOGY PLLC · (Female)

NPI # 1477326965
Status Active
Credentials
Entity Individual
Enumeration date 11/06/2023
Last updated 03/11/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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