OrganizationActive
Manistee Dermatology
NPI 1093913204 · Legal Medicine · Manistee, MI
Manistee Dermatology is a Legal Medicine organization in Manistee, MI (NPI 1093913204).
Provider details
- NPI number
- 1093913204
- Entity type
- Organization
- Primary specialty
- Legal MedicineOther Service Providers
- Organization subpart
- No
- Authorized official
- Stephanie Neider, Doctor(231) 398-1700
- License
- 4301086785 (MI)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1293 E Parkdale Ave
Suite 2500
Manistee, MI 49660-8904
Phone: (231) 398-1700
Fax: (231) 398-1709
Street-level locationGet directions
Mailing address
2138 Reliable Pkwy
Chicago, IL 60686-0001
Registry dates
- Enumerated
- 2007-07-10
- Last updated
- 2012-02-10
Frequently asked questions
- What is Manistee Dermatology's NPI number?
- Manistee Dermatology's National Provider Identifier (NPI) is 1093913204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Manistee Dermatology?
- Manistee Dermatology is classified in the NPPES registry as Legal Medicine (Other Service Providers).
- Where is Manistee Dermatology located?
- Manistee Dermatology's practice location on file with NPPES is 1293 E Parkdale Ave, Manistee, MI 49660-8904.
- What is Manistee Dermatology's phone number?
- The practice phone number listed in the NPPES registry for Manistee Dermatology is (231) 398-1700.
- Who is the authorized official for Manistee Dermatology?
- The authorized official listed on Manistee Dermatology's NPPES record is Stephanie Neider, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Manistee Dermatology's NPI active?
- Yes — Manistee Dermatology's NPI (1093913204) is active in the NPPES registry as of the last update on 2012-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.