Dermatology Specialists of Grand Rapids, PLLC
Dermatology Specialists of Grand Rapids, PLLC is an MOHS-Micrographic Surgery Physician in Grand Rapids, Michigan. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1000 E Paris Ave SE Ste 104Grand Rapids, MI 49546-3680
Phone: (586) 876-2345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| MOHS-Micrographic Surgery Physician (primary) | Taxonomy 207ND0101X |
|---|
Record details
| NPI number | 1821972548 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Iltefat Hamzavi — M.D. · (810) 650-0995 |
| NPI enumerated | August 5, 2025 |
| Last updated in NPPES | August 5, 2025 |
| Certification date | August 5, 2025 |
| Mailing address | 43151 Dalcoma Dr Ste 4, Clinton Township, MI 48038-6306 |
Other providers in Grand Rapids
-
Dr. Eileen Larkin Axibal, MD
1740 E Paris Ave SE, Grand Rapids, MI 49546-6204 · (616) 949-5600
-
El Tal MD PC
555 Midtowne St NE Ste 301, Grand Rapids, MI 49503-5729 · (616) 248-8864