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Contact Information

BAY VIEW DERMATOLOGY
560 W MITCHELL ST
SUITE 510
PETOSKEY, MI49770-2275
 Phone: 231-487-6700
 Fax: 231-487-0303
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for BAY VIEW DERMATOLOGY

NPI # 1710922661
LBN Legal business name BAY VIEW DERMATOLOGY
Authorized official SHERRI VAZALES - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/17/2006
Last updated 08/02/2010 - About 16 years ago
Identifiers
MI Other 070015180 RR MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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