Dr. Michael J Redmond
Dermatologist Procedural Dermatology
128 Medical Park Rd Ste 201
Mooresville
, North Carolina 28117-8579
Dr. Michael J Redmond
Dermatologist Procedural Dermatology
128 Medical Park Rd Ste 201
Mooresville
, North Carolina 28117-8579
(704) 873-4277
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About
Features
Specialties
- Dermatologist
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Dr. Michael J Redmond
- Po Box 1845
- Statesville, NC
- Zip : 28687-1845
- Phone : (704) 873-4277
Second Address
- Dr. Michael J Redmond
- 128 Medical Park Rd Ste 201
- Mooresville, NC
- Zip : 28117-8579
- Fax : (734) 464-9515
- Phone : (704) 235-1827
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 2013-02403 | NC |
| N | 207NS0135X | Procedural Dermatology | MR039589 | MI |
National Provider Identifier
| NPI | 1043350531 |
|---|---|
| Provider Name | Dr. Michael J Redmond |
| First Address | Statesville, NC 28687-1845 |
| Second Address | Mooresville, NC 28117-8579 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2007 |
| Last Update Date | 08/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D72612 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.