OrganizationActive
Advanced Dermatology PLLC
NPI 1538192018 · Dermatology Physician · Saint Joseph, MI
Provider details
- NPI number
- 1538192018
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Kutriata, Owner/Provider(269) 429-7546
- License
- 5101012454 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 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
300 E Maiden Ln
Saint Joseph, MI 49085-8516
Phone: (269) 429-7546
Fax: (269) 429-0807
Street-level locationGet directions
Mailing address
300 E Maiden Ln
Saint Joseph, MI 49085-8516
Registry dates
- Enumerated
- 2006-07-08
- Last updated
- 2010-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.