National Provider Identifier Database

BASE OF THE BAYS DERMATOLOGY PC
Pediatric Dermatology

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.


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
* Pediatric Dermatology 207NP0225X
Dermatology 207N00000X
Dermatopathology 207ND0900X
MOHS-Micrographic Surgery 207ND0101X
Procedural Dermatology 207NS0135X

* Indicates primary specialty

NPI Profile & details for BASE OF THE BAYS DERMATOLOGY PC

NPI Number 1538263231
Legal business name
LBN
BASE OF THE BAYS DERMATOLOGY PC
Authorized official MARK SAUNDERS - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/12/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: MS051504

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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