Organization
NOVICE AESTHETICS AND DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED MARK NOVICE MD (OWNER)
(248) 932-3376
Entity
Organization
Contact information
Practice address
4120 W MAPLE RD STE 206, BLOOMFIELD HILLS, MI 48301-3068
(248) 932-3376
(248) 932-1046
Mailing address
7456 PADDLE WHEEL CT, BLOOMFIELD HILLS, MI 48301-3700
(248) 932-3376
(248) 932-1046
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0900X
Dermatopathology Physician
—
—
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up