Dermatology
ADVANCED DERMATOLOGY OF MICHIGAN, PC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1770973612 · enumerated 2015-01-30 · record updated 2015-01-30. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: AMY DECLUE, Director, Provider Services · (407) 875-2080
Addresses and phones
- Mailing address 151 SOUTHHALL LN, STE 300, MAITLAND, FL, 32751-7176 (407) 875-2080 Fax (407) 650-3455 Google Maps Apple Maps OpenStreetMap
- Practice location 13450 E 12 MILE RD, WARREN, MI, 48088-3671 (586) 759-5525 Fax (586) 759-4022 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary
In this directory
Locations and evidence
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Practice location
WARREN, MI, 480883671
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.