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Advanced Dermatology of Michigan, PC

Dermatology Physician in Warren, MI · enumerated 2015 · authorized official Amy Declue, Director, Provider Services.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1770973612

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Registry record

Entity type Organization (Type 2)
Legal business name Advanced Dermatology of Michigan, PC
Practice address 13450 E 12 Mile Rd, Warren, MI, 48088
Phone (586) 759-5525
Fax (586) 759-4022
Enumeration date Jan 30, 2015
Last updated in NPPES Jan 30, 2015

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Amy Declue
Title Director, Provider Services
Phone (407) 875-2080

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Advanced Dermatology of Michigan, PC?
The NPI for Advanced Dermatology of Michigan, PC is 1770973612, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Advanced Dermatology of Michigan, PC?
NPPES lists Amy Declue (Director, Provider Services) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-01-30.