Derm Institute of West Michigan Plc

NPI #1003460874 in Caledonia, Michigan

Provider Information

NPI Number: 1003460874
Entity Type: Organization
Organization Name: Derm Institute of West Michigan Plc
Primary Specialty: Dermatology
Enumeration Date: Jul 30, 2019
Last Updated: Jul 27, 2023

Practice Location

Address: 1661 CRYSTAL SPRINGS BLVD SE
City: Caledonia
State: Michigan
ZIP Code: 49316-4931
Phone: (616) 326-0114

Authorized Official

Name: DR. KRISTI BETH HAWLEY, DO
Title: SOLE MBR
Phone: (740) 606-7403

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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