Dermatology Specialists of Grand Rapids, Pllc
NPI #1821972548 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1821972548
- Entity Type
- Organization
- Organization Name
- Dermatology Specialists of Grand Rapids, Pllc
- Primary Specialty
- Dermatology - MOHS-Micrographic Surgery
- Enumeration Date
- Aug 5, 2025
- Last Updated
- Aug 5, 2025
Practice Location
- Address
- 1000 EAST PARIS AVE SE STE 104
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49546-3680
- Phone
- (586) 876-2345
Authorized Official
- Name
- ILTEFAT HAMZAVI
- Title
- M.D.
- Phone
- (810) 650-0995
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery |
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