Psoriasis and Eczema Treatment Center of Western Michigan PLLC
NPI 1396745055 · Dermatology Physician · Grand Rapids, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Psoriasis and Eczema Treatment Center of Western Michigan PLLC is a Dermatology Physician organization in Grand Rapids, MI (NPI 1396745055).
Provider details
- NPI number
- 1396745055
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marek Stawiski, Physician(616) 459-8209
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 597 Baldwin StJenison, MI 49428-7994Phone: (616) 457-4251Fax: (616) 457-8410
Registry dates
- Enumerated
- 2005-07-26
- Last updated
- 2018-03-22
Frequently asked questions
- What is Psoriasis and Eczema Treatment Center of Western Michigan PLLC's NPI number?
- Psoriasis and Eczema Treatment Center of Western Michigan PLLC's National Provider Identifier (NPI) is 1396745055, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Psoriasis and Eczema Treatment Center of Western Michigan PLLC?
- Psoriasis and Eczema Treatment Center of Western Michigan PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Psoriasis and Eczema Treatment Center of Western Michigan PLLC located?
- Psoriasis and Eczema Treatment Center of Western Michigan PLLC's practice location on file with NPPES is 833 Michigan St Ne, Grand Rapids, MI 49503-3523.
- What is Psoriasis and Eczema Treatment Center of Western Michigan PLLC's phone number?
- The practice phone number listed in the NPPES registry for Psoriasis and Eczema Treatment Center of Western Michigan PLLC is (616) 459-8209.
- Does Psoriasis and Eczema Treatment Center of Western Michigan PLLC accept Medicare?
- Psoriasis and Eczema Treatment Center of Western Michigan PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Psoriasis and Eczema Treatment Center of Western Michigan PLLC?
- The authorized official listed on Psoriasis and Eczema Treatment Center of Western Michigan PLLC's NPPES record is Marek Stawiski, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Psoriasis and Eczema Treatment Center of Western Michigan PLLC's NPI active?
- Yes — Psoriasis and Eczema Treatment Center of Western Michigan PLLC's NPI (1396745055) is active in the NPPES registry as of the last update on 2018-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.