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NPI 1003069014

OrganizationActive

Dermatology Specialists of Canton, PLLC

NPI 1003069014 · Dermatology Physician · Canton, MI

Provider details

NPI number: 1003069014
Entity type: Organization
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Authorized official: Iltefat Hamzavi, President
License: 4301067985 (MI)

Practice location

285 N Lilley Rd

Canton, MI 48187-3907

Phone: (734) 495-1506

Fax: (734) 495-1780

More MI providers

Mailing address

43151 Dalcoma Drive

Clinton Township, MI 48038

Registry dates

Enumerated: 2008-11-04
Last updated: 2011-03-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Dermatology Specialists of Canton, PLLC — NPI 1003069014, Canton, MI | NPI Central