Advanced Dermatology of Michigan, PC
NPI 1770973612ActiveOrganization· Dermatology· Warren, MI
Dermatology in Warren, Michigan, registered in NPPES in January 2015. The authorized official on file is Amy Declue, Director, Provider Services.
Overview
| NPI | 1770973612 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 30, 2015 |
| Last updated in NPPES | Jan 30, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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