Organization
DAWM, PLC
Active
Other names
Dermatology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE COLEMAN (OPERATIONS DIRECTOR)
(616) 575-6875
Entity
Organization
Contact information
Practice address
1740 E PARIS AVE SE, GRAND RAPIDS, MI 49546-6204
(616) 949-5600
(616) 949-6571
Mailing address
1740 E PARIS AVE SE, GRAND RAPIDS, MI 49546-6204
(616) 949-5600
(616) 949-6571
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG6898
RAILROAD MEDICARE
MI
Enumeration date
07/08/2006
Last updated
01/10/2024
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