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

Novi Dermatology PLLC

Organization Dermatology Physician · NPI 1245751007

Novi Dermatology PLLC is a Dermatology Physician in Novi, Michigan. Registered with an NPI since 2017.

In the registry since
2017
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

44000 W 12 Mile Rd Ste 103
Novi, MI 48377
Phone: (248) 946-4787
Fax: (248) 716-5956
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 number1245751007
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alice Watson — Delegated Official · (248) 946-4787
NPI enumeratedJuly 3, 2017
Last updated in NPPESJune 14, 2021
Certification dateJune 14, 2021
Mailing address44000 W 12 Mile Rd Ste 103, Novi, MI 48377-2646

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