PSORIASIS AND ECZEMA TREATMENT CENTER OF WESTERN MICHIGAN PLLC
NPI 1396745055
Dermatology in Grand Rapids, MI

Active since July 26, 2005
833 MICHIGAN ST NE, SUITE 102, GRAND RAPIDS, MI 49503(616) 459-8209(616) 459-0313 Get Directions Write a Review

NPPES record last updated: March 22, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Psoriasis And Eczema Treatment Center Of Western Michigan Pllc NPPES

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

PSORIASIS AND ECZEMA TREATMENT CENTER OF WESTERN MICHIGAN PLLC (NPI 1396745055) is a healthcare organization registered as a dermatology in Grand Rapids, Michigan and active in the NPI registry since July 2005. The organization maintains a secondary practice location in Jenison and lists Marek A Stawiski, Physician, as its authorized official.

NPPES Registry Identity

NPI1396745055
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePSORIASIS AND ECZEMA TREATMENT CENTER OF WESTERN MICHIGAN PLLC
Location Address833 MICHIGAN ST NE, SUITE 102Grand Rapids, MI 49503-3523
Mailing Address833 Michigan St Ne, Suite 102Grand Rapids, MI 49503-3523 · (616) 459-8209 · Fax (616) 459-0313
Fax(616) 459-0313
Organization SubpartNo
Authorized OfficialMarek A StawiskiPhysician · (616) 459-8209
Enumeration DateJuly 26, 2005
Last NPPES UpdateMarch 22, 2018
✔ NPI 1396745055 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.
833 MICHIGAN ST NE, Grand Rapids, MI 49503

Secondary Practice Location 1

Location 1597 Baldwin StJenison, MI 49428-7994 · Phone (616) 457-4251 · Fax (616) 457-8410

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

Other Providers at the Same Location NPPES 6

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

Dermatology
833 MICHIGAN ST NE, SUITE 102
GRAND RAPIDS, MI 49503
Ophthalmology
833 MICHIGAN ST NE, SUITE 101
GRAND RAPIDS, MI 49503
Physician Assistant
833 MICHIGAN ST NE, SUITE 102
GRAND RAPIDS, MI 49503
Dermatology
833 MICHIGAN ST NE, SUITE 102
GRAND RAPIDS, MI 49503
Dermatology
833 MICHIGAN ST NE, SUITE 102
GRAND RAPIDS, MI 49503
Dermatology (Dermatopathology)
833 MICHIGAN ST NE, SUITE 102
GRAND RAPIDS, MI 49503

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 Psoriasis And Eczema Treatment Center Of Western Michigan PLLC's NPI number?

The NPI number for Psoriasis And Eczema Treatment Center Of Western Michigan PLLC is 1396745055. It was assigned to this organization in the NPPES registry on July 26, 2005.

Where is Psoriasis And Eczema Treatment Center Of Western Michigan PLLC located?

Psoriasis And Eczema Treatment Center Of Western Michigan PLLC is located at 833 Michigan St NE Suite 102, Grand Rapids, MI 49503. The listed phone number is (616) 459-8209.

What is Psoriasis And Eczema Treatment Center Of Western Michigan PLLC's specialty?

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

What insurance does Psoriasis And Eczema Treatment Center Of Western Michigan PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Psoriasis And Eczema Treatment Center Of Western Michigan 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 Psoriasis And Eczema Treatment Center Of Western Michigan PLLC was last updated on March 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.