Individual provider · Type 1 NPI

Aaron Tisack

Dermatology Physician · Novi, MI

NPI number 1376121350 Active

Practice location

39450 W Twelve Mile Rd
Novi, MI 48377-3600

Call (248) 344-6688 Map

Mailing address

1 Ford Pl Ste 3A
Detroit, MI 48202-3450

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000X4301518000 (MI)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1376121350

Aaron Tisack's National Provider Identifier is 1376121350, issued on Mar 31, 2021. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Novi, MI. The record was last updated on Jun 22, 2026.