Dynamic Dermatology and Skin Cancer Center PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MC081921 Issued in MI

Legal business name

DYNAMIC DERMATOLOGY AND SKIN CANCER CENTER PC

Practice address

105 Arbor LN
Alpena, MI 49707-1301

Phone

(989) 356-3485

Fax

(989) 356-6396

NPI assigned

Nov 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Murray Adrian Cotter, MD, PH.D

Title

Owner

Phone

(989) 356-3485

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1891169736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1087 MAPLE WAY",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497409234",
            "telephone_number": "989-356-3485",
            "fax_number": "989-356-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ARBOR LN",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071301",
            "telephone_number": "989-356-3485",
            "fax_number": "989-356-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC DERMATOLOGY AND SKIN CANCER CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "COTTER",
        "authorized_official_first_name": "MURRAY",
        "authorized_official_middle_name": "ADRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-356-3485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PH.D"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": "MC081921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "207N00000X",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "MC081921",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Alpena, MI
• Providers in Alpena, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.