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Contact Information

FOREFRONT DERMATOLOGY, S.C.
1000 E PARIS AVE SE
SUITE 214
GRAND RAPIDS, MI49546
 Phone: 616-957-2060
 Fax: 616-957-0388
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for FOREFRONT DERMATOLOGY SC · (Female)

NPI # 1487063392
Status Active
Credentials
Entity Individual
Enumeration date 08/05/2014
Last updated 05/16/2018 - About 8 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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