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

Northwestern Michigan Dermatology

Organization MOHS-Micrographic Surgery Physician · NPI 1346457488

Northwestern Michigan Dermatology is an MOHS-Micrographic Surgery Physician in Traverse City, Michigan. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

550 Munson Ave Ste 200
Traverse City, MI 49686-3580
Phone: (231) 935-8717
Fax: (231) 935-9230
Show map & directions

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 number1346457488
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Soumit Pendharkar — Office Manager · (231) 935-8717
NPI enumeratedMay 17, 2007
Last updated in NPPESAugust 22, 2020
Mailing address550 Munson Ave, Suite 200, Traverse City, MI 49686-3580

Other providers in Traverse City