IndividualActive
Michael Dewall, DO
NPI 1679968150 · Dermatopathology Physician · Ypsilanti, MI
Provider details
- NPI number
- 1679968150
- Entity type
- Individual
- Primary specialty
- Dermatopathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5101025453 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
5301 E Huron River Dr
Ypsilanti, MI 48197-1051
Phone: (734) 712-3161
Fax: (734) 712-2244
Approximate (ZIP-level) locationGet directions
Mailing address
24 Frank Lloyd Wright Dr Lbby J2000
Ann Arbor, MI 48105-9484
Registry dates
- Enumerated
- 2015-04-01
- Last updated
- 2020-12-15
- Certified
- 2020-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.