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COSMETIC SKIN AND LASER CENTER
NPI 1811139082
General Practice in Petoskey, MI

Active since April 02, 2009
116 W MITCHELL ST, PETOSKEY, MI 49770(231) 347-7395 Get Directions Write a Review

NPPES record last updated: April 2, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cosmetic Skin And Laser Center NPPES

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

COSMETIC SKIN AND LASER CENTER (NPI 1811139082) is a healthcare organization registered as a general practice in Petoskey, Michigan and active in the NPI registry since April 2009. The organization lists Gustav Jailing Lo, Owner, as its authorized official.

NPPES Registry Identity

NPI1811139082
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCOSMETIC SKIN AND LASER CENTER
Location Address116 W MITCHELL STPetoskey, MI 49770-2324
Mailing Address116 W Mitchell StPetoskey, MI 49770-2324 · (231) 347-7395
Phone(231) 347-7395
Organization SubpartNo
Authorized OfficialGustav Jailing LoOwner · (231) 347-7395
Enumeration DateApril 2, 2009
✔ NPI 1811139082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MI · GL053321
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
116 W MITCHELL ST, Petoskey, MI 49770
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

AMANDA DANIELLE GREENE
Physician Assistant (Medical)
116 W MITCHELL ST
PETOSKEY, MI 49770
Emmet County (231) 347-7395
MARISA PILARSKI NP
Nurse Practitioner (Family)
116 W MITCHELL ST
PETOSKEY, MI 49770
Emmet County (586) 531-0453
CLEAR THE DERMATOLOGY CLINIC PC
Physician Assistant (Medical)
116 W MITCHELL ST
PETOSKEY, MI 49770
Emmet County (231) 348-0766
MRS. COURTNEY GRIFFITH-SUMPTER PHYSICIANS ASSISTANT
Physician Assistant (Medical)
116 W MITCHELL ST
PETOSKEY, MI 49770
Emmet County (231) 348-2828
QUICK CARE FAMILY MEDICAL CENTER PC
General Practice
116 W MITCHELL ST
PETOSKEY, MI 49770
Emmet County (231) 348-2828
TANYA DRINKALL
Nurse Practitioner
116 W MITCHELL ST
PETOSKEY, MI 49770
Emmet County (231) 348-2828
JESSICA PANOFF PA-C
Physician Assistant (Medical)
116 W MITCHELL ST
PETOSKEY, MI 49770
Emmet County (231) 348-2828
DR. GUSTAV JALIANG LO M.D.
General Practice
116 W MITCHELL ST
PETOSKEY, MI 49770
Emmet County (231) 348-2828

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 Cosmetic Skin And Laser Center's NPI number?

The NPI number for Cosmetic Skin And Laser Center is 1811139082. It was assigned to this organization in the NPPES registry on April 2, 2009.

Where is Cosmetic Skin And Laser Center located?

Cosmetic Skin And Laser Center is located at 116 W Mitchell St, Petoskey, MI 49770. The listed phone number is (231) 347-7395.

What is Cosmetic Skin And Laser Center's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Cosmetic Skin And Laser Center was last updated on April 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.