Dermatology
ADVANCED DERMATOLOGY PLLC
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 Plan acceptance stays unpublished until the practice reports it.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 1538192018 · enumerated 2006-07-08 · record updated 2010-03-25. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: MARK KUTRIATA D.O., Owner/provider · (269) 429-7546
Addresses and phones
- Mailing address 300 E MAIDEN LN, SAINT JOSEPH, MI, 49085-8516 (269) 429-7546 Fax (269) 429-0807 Google Maps Apple Maps OpenStreetMap
- Practice location 300 E MAIDEN LN, SAINT JOSEPH, MI, 49085-8516 (269) 429-7546 Fax (269) 429-0807 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary · License 5101012454 MI
In this directory
Locations and evidence
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Practice location
SAINT JOSEPH, MI, 490858516
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.