Northern Indiana Dermatology and Skin Surgery Center

NPI #1639289093 in Portage, Indiana

Provider Information

NPI Number
1639289093
Entity Type
Organization
Organization Name
Northern Indiana Dermatology and Skin Surgery Center
Primary Specialty
Dermatology - MOHS-Micrographic Surgery
Enumeration Date
Aug 30, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
3190 LANCER ST
State
Indiana
ZIP Code
46368-4488
Phone
(219) 764-3600

Authorized Official

Name
DR. RUCHIK S DESAI
Title
PHYSICIAN
Phone
(219) 764-3600

Specialties & Taxonomy Codes

Specialty
Dermatology - MOHS-Micrographic SurgeryMOHS-Micrographic Surgery

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