Healthcare Provider Details

I. General information

NPI: 1154246999
Provider Name (Legal Business Name): APRES DERMATOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 W 1300 S STE 120
HEBER CITY UT
84032-3147
US

IV. Provider business mailing address

321 W 1300 S STE 120
HEBER CITY UT
84032-3147
US

V. Phone/Fax

Practice location:
  • Phone: 435-200-3502
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY MICHAELIS
Title or Position: OWNER/FOUNDER
Credential: MD
Phone: 909-815-6430