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

Manistee Dermatology

Organization Legal Medicine · NPI 1093913204

Manistee Dermatology is a Legal Medicine in Manistee, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007

Practice location Address checks out

1293 E Parkdale Ave Ste 2500
Manistee, MI 49660-8904
Phone: (231) 398-1700
Fax: (231) 398-1709
Show map & directions

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

Specialties & licences

Legal Medicine (primary) Taxonomy 173000000X · Licence 4301086785 (MI)

Record details

NPI number1093913204
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Neider — Doctor · (231) 398-1700
NPI enumeratedJuly 10, 2007
Last updated in NPPESFebruary 10, 2012
Mailing address2138 Reliable Pkwy, Chicago, IL 60686-0001