Advanced Dermatology of Michigan, PC
NPI 1770973612 · Dermatology Physician · Warren, MI
Advanced Dermatology of Michigan, PC is a Dermatology Physician organization in Warren, MI (NPI 1770973612).
Provider details
- NPI number
- 1770973612
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amy Declue, Director, Provider Services(407) 875-2080
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
11 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
Mailing address
Registry dates
- Enumerated
- 2015-01-30
- Last updated
- 2015-01-30
Frequently asked questions
- What is Advanced Dermatology of Michigan, PC's NPI number?
- Advanced Dermatology of Michigan, PC's National Provider Identifier (NPI) is 1770973612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Dermatology of Michigan, PC?
- Advanced Dermatology of Michigan, PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Advanced Dermatology of Michigan, PC located?
- Advanced Dermatology of Michigan, PC's practice location on file with NPPES is 13450 E 12 Mile Rd, Warren, MI 48088-3671.
- What is Advanced Dermatology of Michigan, PC's phone number?
- The practice phone number listed in the NPPES registry for Advanced Dermatology of Michigan, PC is (586) 759-5525.
- Who is the authorized official for Advanced Dermatology of Michigan, PC?
- The authorized official listed on Advanced Dermatology of Michigan, PC's NPPES record is Amy Declue, Director, Provider Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Dermatology of Michigan, PC's NPI active?
- Yes — Advanced Dermatology of Michigan, PC's NPI (1770973612) is active in the NPPES registry as of the last update on 2015-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.