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Contact Information

BASE OF THE BAYS DERMATOLOGY PC
3950 SHORE RD
WILLIAMSBURG, MI49690
 Phone: 231-938-7004
 Fax: 231-938-3112
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Dermatology

207NP0225X 07 Physician/Dermatology
 

Dermatology

207N00000X 07 Physician/Dermatology
 

Dermatopathology

207ND0900X 07 Physician/Dermatology
 

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
Indicates primary specialty

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

NPI # 1538263231
Status Active
Credentials
Entity Individual
Enumeration date 09/12/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # MS051504
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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