Provider profile · NPI 1265645535
Academic Dermatology & Cosmetic Surgery Center, Pllc
Dermatology · Shelby Twp., MI · NPI 1265645535 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Organization
Primary specialty
Dermatology
Enumerated
May 7, 2007
License(s)
4301058522 (MI), 4301058522 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 50182 SCHOENHERR ROAD | Shelby Twp., MI 48315 | 586-997-9700 |
| MAILING | 51189 SHELBY PKWY | Shelby Twp, MI 48315-1786 | 586-997-9700 |
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