Organization
LAKE MICHIGAN DERMATOLOGY PLLC
Active
Organization
LAKE MICHIGAN DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY BERGER MD MPH (MANAGER, OWNER)
(616) 499-4844
Entity
Organization
Contact information
Practice address
1148 WASHINGTON AVE STE 20, HOLLAND, MI 49423-7728
(616) 499-4844
(616) 499-4847
Mailing address
1148 WASHINGTON AVE STE 20, HOLLAND, MI 49423-7728
(616) 499-4844
(269) 849-8708
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/10/2022
Last updated
03/13/2023
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