Suzette Sanchez, DO Dermatology, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

SS012352 Issued in MI

Legal business name

SUZETTE SANCHEZ, DO DERMATOLOGY, PC

Practice address

3290 N Wellness Dr
Suite 260
Holland, MI 49424-7261

Phone

(616) 399-9040

Fax

(616) 399-0934

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Suzette Q Sanchez, D.O.

Title

Owner

Phone

(616) 399-9040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437298049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 N WELLNESS DR",
            "address_2": "SUITE 260",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494247259",
            "telephone_number": "616-399-9040",
            "fax_number": "616-399-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 N WELLNESS DR",
            "address_2": "SUITE 260",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494247261",
            "telephone_number": "616-399-9040",
            "fax_number": "616-399-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZETTE SANCHEZ, DO DERMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "SUZETTE",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-399-9040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "SS012352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Holland, MI
• Providers in Holland, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.