Michigan City Dermatology and Vein Clinic LLC

NPI #1962027581 in Michigan City, Indiana

Provider Information

NPI Number
1962027581
Entity Type
Organization
Organization Name
Michigan City Dermatology and Vein Clinic LLC
Primary Specialty
Dermatology
Enumeration Date
Jun 9, 2020
Last Updated
Jun 9, 2020

Practice Location

Address
10282 W 400 N
State
Indiana
ZIP Code
46360-9470
Phone
(773) 351-2862

Authorized Official

Name
DR. VASSILIOS ATHANASIOS DIMITROPOULOS, MD
Title
PRESIDENT
Phone
(773) 351-2862

Specialties & Taxonomy Codes

Specialty
Dermatology

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