Organization
MICHIGAN SKIN CLINICS PC
Active
Organization
MICHIGAN SKIN CLINICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L STOCKMAN MD (PRESIDENT)
(989) 341-5078
Entity
Organization
Contact information
Practice address
3925 FORTUNE BLVD, SAGINAW, MI 48603-2287
(989) 459-2300
(989) 791-1392
Mailing address
3925 FORTUNE BLVD, SAGINAW, MI 48603-2287
(989) 459-2300
(989) 791-1392
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
4301108678
MI
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
4301108678
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4301108678
MI
208D00000X
General Practice Physician
4301108678
MI
Other
Enumeration date
07/07/2016
Last updated
01/04/2022
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