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MANISTEE DERMATOLOGY
NPI 1093913204
Legal Medicine in Manistee, MI

Active since July 10, 2007
1293 E PARKDALE AVE, SUITE 2500, MANISTEE, MI 49660(231) 398-1700(231) 398-1709 Get Directions Write a Review

NPPES record last updated: February 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Manistee Dermatology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANISTEE DERMATOLOGY (NPI 1093913204) is a healthcare organization registered as a legal medicine in Manistee, Michigan and active in the NPI registry since July 2007. The organization lists Stephanie Dawn Neider, Doctor, as its authorized official.

NPPES Registry Identity

NPI1093913204
Entity TypeOrganization
Primary Taxonomy173000000X
Legal Business NameMANISTEE DERMATOLOGY
Location Address1293 E PARKDALE AVE, SUITE 2500Manistee, MI 49660-8904
Mailing Address2138 Reliable PkwyChicago, IL 60686-0001 · (231) 398-1700 · Fax (231) 398-1709
Phone(231) 398-1700
Fax(231) 398-1709
Organization SubpartNo
Authorized OfficialStephanie Dawn NeiderDoctor · (231) 398-1700
Enumeration DateJuly 10, 2007
Last NPPES UpdateFebruary 10, 2012
✔ NPI 1093913204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLegal MedicineOther Service Providers
Taxonomy Code173000000X
License✔ Licensed in MI · 4301086785
Definition
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
1293 E PARKDALE AVE, Manistee, MI 49660
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Other Identifiers 2

Medicaid104819846MI
Medicare PIN0P26510MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WEST SHORE HEALTH CENTERS CORPORATION
Orthopaedic Surgery
1293 E PARKDALE AVE, STE 2300B
MANISTEE, MI 49660
Manistee County (231) 398-1735
DR. KRYSTAL KAY JOHNSTON M.D.
Pediatrics
1293 E PARKDALE AVE, SUITE 1200
MANISTEE, MI 49660
Manistee County (231) 398-1710
TRACY ROBINSON NP
Nurse Practitioner (Family)
1293 E PARKDALE AVE
MANISTEE, MI 49660
Manistee County (231) 398-1550
JESSICA JEAN DUNCAN PA-C
Physician Assistant (Medical)
1293 E PARKDALE AVE
MANISTEE, MI 49660
Manistee County (231) 398-1840
MUNSON HEALTHCARE MANISTEE
Surgery
1293 E PARKDALE AVE
MANISTEE, MI 49660
Manistee County (231) 398-1750
DR. MARIAN FULLER MD
Obstetrics & Gynecology
1293 E PARKDALE AVE
MANISTEE, MI 49660
Manistee County (231) 398-1550
WEST SHORE WOMENS PRACTICE PC
Obstetrics & Gynecology
1293 E PARKDALE AVE, SUITE 1200A
MANISTEE, MI 49660
Manistee County (231) 398-0222
RENAISSANCE WOMEN'S HEALTH, PLC
Obstetrics & Gynecology
1293 E PARKDALE AVE, SUITE 1200A
MANISTEE, MI 49660
Manistee County (231) 398-0222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manistee Dermatology's NPI number?

The NPI number for Manistee Dermatology is 1093913204. It was assigned to this organization in the NPPES registry on July 10, 2007.

Where is Manistee Dermatology located?

Manistee Dermatology is located at 1293 E Parkdale Ave Suite 2500, Manistee, MI 49660. The listed phone number is (231) 398-1700.

What is Manistee Dermatology's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

When was this NPI record last updated?

The NPPES record for Manistee Dermatology was last updated on February 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.