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

Clear the Dermatology Clinic PC

Organization General Practice Physician · NPI 1164874616

Clear the Dermatology Clinic PC is a General Practice Physician in Petoskey, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016
Specialties on file
2
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

116 W Mitchell St
Petoskey, MI 49770-2357
Phone: (231) 348-0766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601004147 (MI)
General Practice Physician Taxonomy 208D00000X · Licence 4301053221 (MI)

Record details

NPI number1164874616
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christy Racignol — Billing Coordinator · (231) 348-2828
NPI enumeratedJuly 8, 2016
Last updated in NPPESAugust 2, 2016
Mailing address116 W Mitchell St, Petoskey, MI 49770-2357

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