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

St Joseph Dermatology and Vein Clinic PLLC

Organization Dermatology Physician · NPI 1407309560

St Joseph Dermatology and Vein Clinic PLLC is a Dermatology Physician in Saint Joseph, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2500 Niles Rd Ste 10A
Saint Joseph, MI 49085-3272
Phone: (773) 351-2862
Fax: (773) 358-2767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 4301079801 (MI)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 4301079801 (MI)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 4301079801 (MI)

Record details

NPI number1407309560
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vassilios Dimitropoulos — Physician/ Owner/ President · (773) 351-2862
NPI enumeratedJuly 25, 2016
Last updated in NPPESJanuary 26, 2017
Mailing address745 S Park Ave, Hinsdale, IL 60521-4645

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