Organization
MID-MICHIGAN DERMATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK E HATCH D.O. (PRESIDENT)
(517) 886-0333
Entity
Organization
Contact information
Practice address
416 S CREYTS RD, LANSING, MI 48917-8290
(517) 886-0333
Mailing address
416 S CREYTS RD, LANSING, MI 48917-8290
(517) 886-0333
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN8644
RAILROAD MEDICARE
MI
Enumeration date
10/24/2006
Last updated
04/07/2008
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