Provider profile · NPI 1356932883

Asmsc-Valparaiso In Pc

Dermatology, MOHS-Micrographic Surgery · Mill Creek, IN · NPI 1356932883 · 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

Jan 28, 2021

License(s)

Addresses on file

PurposeAddressCity/StatePhone
MAILING2570 NILES RD Saint Joseph, MI 49085-3203269-985-0021
LOCATION6445 E DIVISION RD Mill Creek, IN 46365-9798269-985-0021

View on NPPES registry ↗

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