Organization · Type 2 NPI
Northern Indiana Dermatology and Skin Surgery Center
MOHS-Micrographic Surgery Physician · Portage, IN
Practice location
3190 Lancer St
Portage, IN 46368-4488
Fax (219) 764-3661
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| MOHS-Micrographic Surgery Physician Primary | 207ND0101X | 207N00000X (IN) |
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…
6 other providers at this address
- Emily Margaret Garritson, MDDermatology Physician Portage, IN NPI 1659637791
- Marlee R. Pratt, FNPFamily Nurse Practitioner Portage, IN NPI 1225461585
- Melanie Lynn Haney, NPFamily Nurse Practitioner Portage, IN NPI 1851437859
- Ruchik S. Desai, MDDermatology Physician Portage, IN NPI 1710975255
- Sandra Elaine Scholebo, RN, MSN, FNPFamily Nurse Practitioner Portage, IN NPI 1437168622
- Sreya Talasila, MDMOHS-Micrographic Surgery Physician Portage, IN NPI 1366860884
About NPI 1639289093
Northern Indiana Dermatology and Skin Surgery Center's National Provider Identifier is 1639289093, issued on Aug 30, 2006. The primary taxonomy on file is MOHS-Micrographic Surgery Physician (207ND0101X), and the practice location is in Portage, IN. The record was last updated on Aug 22, 2020.