| Dr Stephanie Freels, MD | |
|
2570 Niles Rd, Saint Joseph, MI 49085-3203 | |
| (269) 321-7546 | |
| (269) 321-1705 |
| Full Name | Dr Stephanie Freels |
|---|---|
| Gender | Female |
| Speciality | Dermatology - Procedural Dermatology |
| Location | 2570 Niles Rd, Saint Joseph, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952319303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 036-071166 (Illinois) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 036071166 (Illinois) | Primary |
| Entity Name | Aesthetic And Clinical Dermatology Associates, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023067964 PECOS PAC ID: 7416912829 Enrollment ID: O20041124000760 |
| Entity Name | Vitalskin Medical Group Il Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063030252 PECOS PAC ID: 5991116261 Enrollment ID: O20201118002083 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephanie Freels, MD 206 S Jameson St, New Buffalo, MI 49117-1439 Ph: (630) 776-1134 | Dr Stephanie Freels, MD 2570 Niles Rd, Saint Joseph, MI 49085-3203 Ph: (269) 321-7546 |
Mark A Kuriata, D.O. Dermatology Medicare: Medicare Enrolled Practice Location: 300 E Maiden Ln, Saint Joseph, MI 49085 Phone: 269-429-7546 Fax: 269-429-0807 | |
Ms. Cailey Rooker, PA-C Dermatology Medicare: Medicare Enrolled Practice Location: 2900 Niles Rd, Saint Joseph, MI 49085 Phone: 269-428-5199 Fax: 269-428-5190 | |
Dr. Brittany Valk, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2570 Niles Rd, Saint Joseph, MI 49085 Phone: 269-321-7546 Fax: 269-321-1705 |