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

Michael Dewall, DO

Individual provider Dermatology Physician · NPI 1679968150

Michael Dewall, DO is a Pathology in Ypsilanti, Michigan. Qualified in 2015, 11 years ago. Practices with Iha Health Services Corporation, a 1,146-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2015
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

5301 E Huron River Dr
Ypsilanti, MI 48197-1051
Phone: (734) 712-3161
Fax: (734) 712-2244
Show map & directions

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

Specialties & licences

Dermatopathology Physician (primary) Taxonomy 207ND0900X · Licence 5101025453 (MI)
Dermatology Physician Taxonomy 207N00000X · Licence 5101025453 (MI)
Clinical Pathology Physician Taxonomy 207ZC0006X · Licence 5101025453 (MI)

Record details

NPI number1679968150
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 1, 2015
Last updated in NPPESDecember 15, 2020
Certification dateDecember 15, 2020
Mailing address24 Frank Lloyd Wright Dr Lbby J2000, Ann Arbor, MI 48105-9484

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Iha Health Services Corporation — 1146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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