OrganizationActive
Base Dermatology, PC
NPI 1902672652 · MOHS-Micrographic Surgery Physician · Royal Oak, MI
Provider details
- NPI number
- 1902672652
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bryan Sofen, Owner(248) 563-2489
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
Practice location
27776 Woodward Ave
Royal Oak, MI 48067-0930
Phone: (248) 355-5047
Fax: (248) 355-3511
Approximate (ZIP-level) locationGet directions
Mailing address
25504 Sherwood Dr
Huntington Woods, MI 48070-1752
Registry dates
- Enumerated
- 2023-12-04
- Last updated
- 2025-07-01
- Certified
- 2025-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.