OrganizationActive
Northwestern Michigan Dermatology
NPI 1346457488 · MOHS-Micrographic Surgery Physician · Traverse City, MI
Provider details
- NPI number
- 1346457488
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Soumit Pendharkar, Office Manager
Practice location
550 Munson Ave
Suite 200
Traverse City, MI 49686-3580
Phone: (231) 935-8717
Fax: (231) 935-9230
Mailing address
550 Munson Ave
Traverse City, MI 49686-3580
Registry dates
- Enumerated
- 2007-05-17
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.