COSMETIC SKIN AND LASER CENTER – NPI #1811139082
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

COSMETIC SKIN AND LASER CENTER is a provider located in PETOSKEY, MI. NPPES has assigned the NPI number 1811139082 to COSMETIC SKIN AND LASER CENTER on April 02, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COSMETIC SKIN AND LASER CENTER below.

NPI Profile for
COSMETIC SKIN AND LASER CENTER

NPI Number
1811139082
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COSMETIC SKIN AND LASER CENTER
Primary location
116 W MITCHELL ST
PETOSKEY, MI 49770-2324
Phone: (231) 347-7395 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GUSTAV LO
OWNER
Phone: (231) 347-7395
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)		 MI GL053321

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.