1. Home
  2. Directory
  3. Michigan
  4. Northville
  5. Dermatology
  6. NPI Profile

MI SKIN CENTER, PLLC
NPI 1114515608
Dermatology in Northville, MI

Active since January 09, 2021CLIA 23D2223140 · Certificate of Compliance
133 WEST MAIN STREET, SUITE 251, NORTHVILLE, MI 48167(248) 963-5915(248) 278-4854 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 13, 2021, Jan 9, 2021 (2 updates tracked since 2021).

About Mi Skin Center, Pllc NPPES

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

MI SKIN CENTER, PLLC (NPI 1114515608) is a healthcare organization registered as a dermatology in Northville, Michigan and active in the NPI registry since January 2021. The organization holds a CLIA Certificate of Compliance certificate valid through March 5, 2027 and lists Francisca M.s. Kartono Winardi, President, as its authorized official.

NPPES Registry Identity

NPI1114515608
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMI SKIN CENTER, PLLC
Location Address133 WEST MAIN STREET, SUITE 251Northville, MI 48167
Mailing Address18561 Steep Hollow CtNorthville, MI 48168 · (310) 622-6188 · Fax (248) 278-4854
Phone(248) 963-5915
Fax(248) 278-4854
Organization SubpartNo
Authorized OfficialFrancisca M.s. Kartono WinardiPresident · (310) 622-6188
Enumeration DateJanuary 9, 2021
Last NPPES UpdateJanuary 13, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2021
✔ NPI 1114515608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
133 WEST MAIN STREET, Northville, MI 48167
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 23D2223140

Mi Skin Center PLLC · Northville, MI
Active · expires Mar 5, 2027
CLIA Number23D2223140
Laboratory TypePhysician Office
Certificate Effective DateMarch 6, 2025
Certificate Expiration DateMarch 5, 2027
Laboratory DirectorChristopher J. Schwimer
Laboratory Phone(248) 963-5915
Laboratory LocationMi Skin Center PLLC133 W Main Street Suite 251, Northville, MI 48167
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Mi Skin Center, PLLC's NPI number?

The NPI number for Mi Skin Center, PLLC is 1114515608. It was assigned to this organization in the NPPES registry on January 9, 2021.

Where is Mi Skin Center, PLLC located?

Mi Skin Center, PLLC is located at 133 West Main Street Suite 251, Northville, MI 48167. The listed phone number is (248) 963-5915.

What is Mi Skin Center, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Mi Skin Center, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 23D2223140) is associated with this NPI, valid through March 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mi Skin Center, PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mi Skin Center, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mi Skin Center, PLLC was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.