NORTHERN MICHIGAN DERMATOLOGY PC
NPI 1801082987
Dermatology in Cheboygan, MI

Active since September 21, 2007
125 N MAIN ST, CHEBOYGAN, MI 49721(231) 627-3800(231) 627-2482 Get Directions Write a Review

NPPES record last updated: October 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northern Michigan Dermatology Pc NPPES

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

NORTHERN MICHIGAN DERMATOLOGY PC (NPI 1801082987) is a healthcare organization registered as a dermatology in Cheboygan, Michigan and active in the NPI registry since September 2007. The organization lists William Roger Gray, Physician/corporate President, as its authorized official.

NPPES Registry Identity

NPI1801082987
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNORTHERN MICHIGAN DERMATOLOGY PC
Location Address125 N MAIN STCheboygan, MI 49721-1637
Mailing Address125 N Main StCheboygan, MI 49721-1637 · (231) 627-3800 · Fax (231) 627-2482
Fax(231) 627-2482
Organization SubpartNo
Authorized OfficialWilliam Roger GrayPhysician/corporate President · (231) 627-3800
Enumeration DateSeptember 21, 2007
Last NPPES UpdateOctober 5, 2010
NPI 1801082987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MI · WG008271
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.
125 N MAIN ST, Cheboygan, MI 49721

Other Identifiers 3

Medicare PINMI3069MI
Medicaid3055165MI
Other0751600054Bcbsm

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

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

Dermatology
125 N MAIN ST
CHEBOYGAN, MI 49721

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 Northern Michigan Dermatology PC's NPI number?

The NPI number for Northern Michigan Dermatology PC is 1801082987. It was assigned to this organization in the NPPES registry on September 21, 2007.

Where is Northern Michigan Dermatology PC located?

Northern Michigan Dermatology PC is located at 125 N Main St, Cheboygan, MI 49721. The listed phone number is (231) 627-3800.

What is Northern Michigan Dermatology PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Northern Michigan Dermatology PC was last updated on October 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.