| Michael James Visconti, DO | |
| 361 N Canton Center Rd, Canton, MI 48187-5096 | |
| (734) 495-1506 | |
| (734) 495-1780 | 
| Full Name | Michael James Visconti | 
|---|---|
| Gender | Male | 
| Speciality | Dermatology | 
| Location | 361 N Canton Center Rd, Canton, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1235767856 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207N00000X | Dermatology | 5101027977 (Michigan) | Primary | 
| Entity Name | Midwest Center For Dermatology & Pathology Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1003095084 PECOS PAC ID: 0446330492 Enrollment ID: O20080103000679 | 
| Entity Name | Dermatology Specialists Of Canton Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1003069014 PECOS PAC ID: 6507923976 Enrollment ID: O20090330000584 | 
| Entity Name | Dermatology & Phototherapy Center Of Brighton Plc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1659624591 PECOS PAC ID: 7618114695 Enrollment ID: O20130510000391 | 
| Entity Name | Berry Dermatology Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1326386517 PECOS PAC ID: 2466693387 Enrollment ID: O20130718000458 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Michael James Visconti, DO 361 N Canton Center Rd, Canton, MI 48187-5096 Ph: (734) 495-1506 | Michael James Visconti, DO 361 N Canton Center Rd, Canton, MI 48187-5096 Ph: (734) 495-1506 | 
| Dr. Thomas Powell Waldinger, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 285 N Lilley Rd, Canton, MI 48187 Phone: 734-495-1506 Fax: 734-829-2589 | |
| Dilara Turk, MD Dermatology Medicare: Medicare Enrolled Practice Location: 361 N Canton Center Rd, Canton, MI 48187 Phone: 734-495-1506 Fax: 734-495-1780 | |
| Dr. Ann Ammond Lafond, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8584 N Canton Center Rd, Canton, MI 48187 Phone: 734-455-4917 | |
| Kimberly Simons, PA Dermatology Medicare: Medicare Enrolled Practice Location: 285 N Lilley Rd, Canton, MI 48187 Phone: 734-495-1506 Fax: 734-495-1780 | |
| Mrs. Sara Elizabeth Hayes, PA-C Dermatology Medicare: Medicare Enrolled Practice Location: 285 N Lilley Rd, Canton, MI 48187 Phone: 734-495-1506 Fax: 734-495-1780 | |
| Dr. Ali A Berry, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 361 N Canton Center Rd, Canton, MI 48187 Phone: 734-495-1506 Fax: 734-495-1780 |