Provider profile · NPI 1306011887
Academic Dermatology & Cosmetic Surgery Center Pllc
Dermatology, MOHS-Micrographic Surgery · Oxford, MI · NPI 1306011887 · 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, MOHS-Micrographic Surgery
Enumerated
Apr 25, 2008
License(s)
058522 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 51 S WASHINGTON ST SUITE G | Oxford, MI 48371-6418 | 586-969-8600 |
| LOCATION | 51 S WASHINGTON ST SUITE G | Oxford, MI 48371-6418 | 586-969-8600 |
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