Organization · Type 2 NPI

Lighthouse Dermatology and Skin Cancer Specialists

MOHS-Micrographic Surgery Physician · St. Clair Shores, MI

NPI number 1689413445 Active

Practice location

26901 Harper Ave
St. Clair Shores, MI 48081-1971

Mailing address

6363 29 Mile Rd
Washington, MI 48095-2401

Other practice locations

  • 20 W Clarkston Rd, Lake Orion, MI 48362-2972 · (248) 726-7646

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000XNone listed
MOHS-Micrographic Surgery Physician Primary 207ND0101XNone listed

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…

3 other providers at this address

About NPI 1689413445

Lighthouse Dermatology and Skin Cancer Specialists's National Provider Identifier is 1689413445, issued on May 22, 2024. The primary taxonomy on file is MOHS-Micrographic Surgery Physician (207ND0101X), and the practice location is in St. Clair Shores, MI. The record was last updated on Apr 18, 2025.