Tru North Dermatology

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

TRU NORTH DERMATOLOGY

Practice address

315 Oakgrove St
Manistee, MI 49660-1176

Phone

(231) 299-8900

NPI assigned

Jan 24, 2019

Last updated

Nov 19, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jaime Glauch, MBA

Title

Office Manager

Phone

(231) 299-8900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas Mark Richley, D.O.

  • Dermatology Physician
  • Manistee, MI
  • NPI 1780025619
  Medicare reassignment Care Compare group NPD
• Haley M Verbeek, PA-C

  • Medical Physician Assistant
  • Manistee, MI
  • NPI 1770350159
  Medicare reassignment Care Compare group
• Klaus Peter Kutschke, M.D.

  • Surgery Physician
  • Manistee, MI
  • NPI 1598746349
  NPD (past)
• Vinson Consolacion Ulep, D.O.

  • Surgery Physician
  • Martinsville, VA
  • NPI 1013149707
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1366906364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 OAK GROVE ST",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496601121",
            "telephone_number": "231-299-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 OAKGROVE ST",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496601176",
            "telephone_number": "231-299-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRU NORTH DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "GLAUCH",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "231-299-8900",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore N Batzer MDPC
• Savannah Thiel
• Thomas Berard, D.D.S. P.C. (High-tech Dental)
• Hannah Tomaszewski
• Transitions Women's Wellness Center LLC
• David Tuka
• Danielle Urban
• Usv Optical Inc.
• Leanne Vanbrocklin, RPH
• Charles Jay Vandenberg IV, D.O.

• MOHS-Micrographic Surgery Physician in Manistee, MI
• Providers in Manistee, MI by specialty
• MOHS-Micrographic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.