OrganizationActive
Dermatology Specialists of Grand Rapids, PLLC
NPI 1821972548 · MOHS-Micrographic Surgery Physician · Grand Rapids, MI
Provider details
- NPI number
- 1821972548
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Iltefat Hamzavi, M.D.(810) 650-0995
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1000 East Paris Ave Se Ste 104
Grand Rapids, MI 49546-3680
Phone: (586) 876-2345
Approximate (ZIP-level) locationGet directions
Mailing address
43151 Dalcoma Dr Ste 4
Clinton Township, MI 48038-6306
Registry dates
- Enumerated
- 2025-08-05
- Last updated
- 2025-08-05
- Certified
- 2025-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.