Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL DEWALL, DO
Active Sole ProprietorMICHAEL DEWALL, DO is a Dermatopathology healthcare provider located in YPSILANTI, Michigan. NPI 1679968150 is currently active in the NPPES registry. Verify at CMS.
Dermatopathology · YPSILANTI, MI
Registration Details
- NPI Number
- 1679968150
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 1, 2015 (11.380369479611 yrs)
- Last Updated
- Dec 15, 2020
- Licenses
-
5101025453 (MI)5101025453 (MI)5101025453 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5301 E HURON RIVER DRYPSILANTI, MI, 481971051Browse MI providers · Browse ZIP 48197
- Phone
- 7347123161
- Fax
- 7347122244
- Primary Specialty
-
Dermatopathology
207ND0900X
- Additional Specialty
- Clinical Pathology
- Additional Specialty
- Dermatopathology
Other Dermatopathology Providers in YPSILANTI, MI
| Name | Credential | NPI |
|---|---|---|
| MR. STEPHEN HAROLD OLSEN | M.D. | 1770605271 |
| DR. TIMOTHY GERARD VANDENBOOM II | M.D. | 1629344189 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.