OrganizationActive
Concierge Dermatology & Skin Surgery Center
NPI 1417442898 · MOHS-Micrographic Surgery Physician · Hancock, MI
Provider details
- NPI number
- 1417442898
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mercy Odueyungbo, Authorized Official(906) 362-7546
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
500 Campus Dr
Hancock, MI 49930
Phone: (906) 362-7546
Fax: (413) 269-8079
Approximate (ZIP-level) locationGet directions
Mailing address
540 S Lakeshore Blvd Unit 34
Marquette, MI 49855-4631
Additional practice locations (3)
- 710 S Lincoln RdEscanaba, MI 49829-1292Phone: (906) 362-7546Fax: (413) 269-8079
- 18341 US Highway 41Lanse, MI 49946-8024Phone: (906) 362-7546Fax: (413) 269-8079
- 1500 Sandpoint RdMunising, MI 49862-1406Phone: (709) 833-9990
Registry dates
- Enumerated
- 2018-06-27
- Last updated
- 2018-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.