Individual provider · Type 1 NPI

Jennifer Michelle Divine, MD

MOHS-Micrographic Surgery Physician · Fort Collins, CO

NPI number 1063779072 Active

Practice location

1260 Doctor's Lane
Fort Collins, CO 80524

Fax (970) 294-4954

Specialties and licenses

TaxonomyCodeLicense
MOHS-Micrographic Surgery Physician 207ND0101XME 131766 (FL)
MOHS-Micrographic Surgery Physician Primary 207ND0101XDR.0058205 (CO)

MOHS-Micrographic Surgery Physician: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one…

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About NPI 1063779072

Jennifer Michelle Divine, MD's National Provider Identifier is 1063779072, issued on Apr 15, 2012. The primary taxonomy on file is MOHS-Micrographic Surgery Physician (207ND0101X), and the practice location is in Fort Collins, CO. The record was last updated on Jul 19, 2024.