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Contact Information

BASE DERMATOLOGY, PC
27776 WOODWARD AVE
ROYAL OAK, MI48067-0930
 Phone: 248-355-5047
 Fax: 248-355-3511
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for BASE DERMATOLOGY PC · (Female)

NPI # 1902672652
Status Active
Credentials
Entity Individual
Enumeration date 12/04/2023
Last updated 07/01/2025 - About 11 months ago
Sole proprietor 1 Not specified
Identifiers
  • MI Other 1043452139 PERSONAL NPI
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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