Individual
VASSILIOS A. DIMITROPOULOS
Active
Individual
VASSILIOS A. DIMITROPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
01084831A
IN
207N00000X
Dermatology Physician
036113849
IL
207N00000X
Dermatology Physician
Primary
4301079801
MI
207ND0101X
MOHS-Micrographic Surgery Physician
036113849
IL
207NS0135X
Procedural Dermatology Physician
036113849
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194838045
—
MI
01
—
27-0422873
ST JOSEPH DERMATOLOGY TAX ID
MI
01
—
27-0907956
UNIVERSITY DERMATOLOGY TAX ID
IL
01
—
813288715
UNIVERSITY DERMATOLOGY AND VEIN CLINIC
IL
01
—
813301692
ST JOSEPH DERMATOLOGY AND VEIN CLINIC
MI
Enumeration date
08/16/2006
Last updated
10/23/2020
Update your record
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