Organization
DERMATOLOGY AT MIDTOWNE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIPA SUMAN PATEL MD (PHYSICIAN/OWNER)
(616) 248-8864
Entity
Organization
Contact information
Practice address
555 MIDTOWNE ST NE, SUITE 301, GRAND RAPIDS, MI 49503-5729
(616) 248-8864
(616) 248-8874
Mailing address
555 MIDTOWNE ST NE STE 301, GRAND RAPIDS, MI 49503-5729
(616) 248-8864
(616) 248-8874
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/09/2012
Last updated
03/18/2024
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