Dermatology
LENISE A. BANSE, M.D.,P.C.
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 Plan acceptance stays unpublished until the practice reports it.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 1811041890 · enumerated 2007-01-23 · record updated 2010-06-25. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. LENISE BANSE M.D., Owner · (586) 263-3130
Other names: NORTHEAST FAMILY DERMATOLOGY CENTER
Addresses and phones
- Mailing address 42452 HAYES RD, SUITE 3, CLINTON TOWNSHIP, MI, 48038-6771 (586) 263-3130 Fax (586) 263-5183 Google Maps Apple Maps OpenStreetMap
- Practice location 42452 HAYES RD, SUITE 3, CLINTON TOWNSHIP, MI, 48038-6771 (586) 263-3130 Fax (586) 263-5183 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology, Pediatric Dermatology 207NP0225X · License 4301047653 MI
- Dermatology, Procedural Dermatology 207NS0135X · License 4301047653 MI
- Dermatology 207N00000X · Primary · License 4301047653 MI
In this directory
Locations and evidence
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Practice location
CLINTON TOWNSHIP, MI, 480386771
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.