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

Lake Michigan Dermatology PLLC

Organization Dermatology Physician · NPI 1235863978

Lake Michigan Dermatology PLLC is a Dermatology Physician in Holland, Michigan. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1148 Washington Ave Ste 20
Holland, MI 49423-7728
Phone: (616) 499-4844
Fax: (616) 499-4847
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 number1235863978
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Berger — Manager, Owner · (616) 499-4844
NPI enumeratedJuly 10, 2022
Last updated in NPPESMarch 13, 2023
Certification dateMarch 13, 2023
Mailing address1148 Washington Ave Ste 20, Holland, MI 49423-7728

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