Clear the Dermatology Clinic PC

Organization Active
NPI 1164874616
Medical Physician Assistant Petoskey, MI

Clear the Dermatology Clinic PC holds NPI 1164874616, with a primary taxonomy of medical physician assistant and a practice location in Petoskey, MI. The number was issued on July 8, 2016 and the NPPES record was last updated on August 2, 2016. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2016. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X 5601004147 (MI)
General Practice Physician 208D00000X 4301053221 (MI)

Practice location

116 W Mitchell St
Petoskey, MI 49770-2357
Phone: (231) 348-0766

Local context

Active NPPES records list 18 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 13 of them within 10 miles.

The same primary taxonomy is listed by 1,189 in Michigan and 40,192 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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