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General NPI Number Information
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NPI Number | 1831295526
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Entity Type | Organization
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Legal Business Name | WESTSHORE DERMATOLOGY INC
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 1991 CROCKER RD SUITE 310
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City | WESTLAKE
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State | OH
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Zip | 44145-6969
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Country | US
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Telephone | 440-617-9114
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Fax | 440-617-9058
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Provider Business Mailing Address
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Address Line | 1991 CROCKER RD STE 310
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City | WESTLAKE
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State | OH
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Zip | 44145-6971
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Country | US
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Telephone | 440-617-9114
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Fax | 440-617-9058
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | KATHLEEN A MULLIGAN
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Credential |
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Telephone | 440-617-9114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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