National Provider Identifier Database

EILEEN L AXIBAL, MD – NPI #1154732386
MOHS-Micrographic Surgery

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.


Contact Information

EILEEN L AXIBAL, MD
1740 E PARIS AVE SE
GRAND RAPIDS, MI49546-6204
Phone: 616-949-5600
Fax: 616-949-6571
Website:
Specialty Taxonomy Code
* MOHS-Micrographic Surgery 207ND0101X
Dermatology 207N00000X

* Indicates primary specialty

NPI Profile & details for EILEEN L AXIBAL

NPI Number 1154732386
Credentials MD
Entity Individual
Enumeration date 05/09/2014
Last updated 01/10/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • CO License #: 021728
  • MI License #: 4301502472
  • NC License #: 2019-00214
  • SC License #: 82323
Hospital affiliation n/a

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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