Dermatology, MOHS-Micrographic Surgery
DERMATOLOGY SPECIALISTS OF GRAND RAPIDS, 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 Plan acceptance stays unpublished until the practice reports it.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 1821972548 · enumerated 2025-08-05 · record updated 2025-08-05. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: ILTEFAT HAMZAVI, M.D. · (810) 650-0995
Addresses and phones
- Mailing address 43151 DALCOMA DR STE 4, CLINTON TOWNSHIP, MI, 48038-6306 (586) 876-2345 Google Maps Apple Maps OpenStreetMap
- Practice location 1000 EAST PARIS AVE SE STE 104, GRAND RAPIDS, MI, 49546-3680 (586) 876-2345 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology, MOHS-Micrographic Surgery 207ND0101X · Primary
In this directory
MI Kent County Grand Rapids Dermatology, MOHS-Micrographic Surgery
Locations and evidence
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Practice location
GRAND RAPIDS, MI, 495463680
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.