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Organization

TRU NORTH DERMATOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAIME GLAUCH MBA (OFFICE MANAGER)
(231) 299-8900
Entity
Organization

Contact information

Practice address
315 OAKGROVE ST, MANISTEE, MI 49660-1176
(231) 299-8900
Mailing address
315 OAK GROVE ST, MANISTEE, MI 49660-1121
(231) 299-8900

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary

Other

Enumeration date
01/24/2019
Last updated
11/19/2025
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