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

Midwest Dermatology, Laser & Vein Clinic

Organization Dermatopathology Physician · NPI 1174652325

Midwest Dermatology, Laser & Vein Clinic is a Dermatopathology Physician in Troy, Ohio. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

3006 N Co Road 25-A
Troy, OH 45373-1373
Phone: (937) 335-2075
Fax: (937) 339-0612
Show map & directions

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

Specialties & licences

Dermatopathology Physician (primary) Taxonomy 207ND0900X

Record details

NPI number1174652325
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angie Gleason — Billing Manager · (937) 875-2745
NPI enumeratedMarch 5, 2007
Last updated in NPPESApril 9, 2024
Certification dateApril 9, 2024
Mailing address3006 N Co Road 25-A, Troy, OH 45373-1373