National Provider Identifier Database

BASE DERMATOLOGY PC
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

BASE DERMATOLOGY, PC
27776 WOODWARD AVE
ROYAL OAK, MI48067-0930
Phone: 248-355-5047
Fax: 248-355-3511
Website:
Specialty Taxonomy Code
* MOHS-Micrographic Surgery 207ND0101X
Dermatology 207N00000X

* Indicates primary specialty

NPI Profile & details for BASE DERMATOLOGY, PC

NPI Number 1902672652
Legal business name
LBN
BASE DERMATOLOGY, PC
Authorized official BRYAN SOFEN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/04/2023
Last updated 07/01/2025 - About 11 months ago
Sole proprietor1 Not specified
Identifiers
  • MI Other: 1043452139 PERSONAL NPI

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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