Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Dermatology of Michigan, PC

Organization Dermatology Physician · NPI 1770973612

Advanced Dermatology of Michigan, PC is a Dermatology Physician in Warren, Michigan. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13450 E 12 Mile Rd
Warren, MI 48088-3671
Phone: (586) 759-5525
Fax: (586) 759-4022
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1770973612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Declue — Director, Provider Services · (407) 875-2080
NPI enumeratedJanuary 30, 2015
Last updated in NPPESJanuary 30, 2015
Mailing address151 Southhall Ln, Ste 300, Maitland, FL 32751-7176

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