Provider Demographics
NPI:1104089747
Name:DURHAM, ALISON B (MD)
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:B
Last Name:DURHAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ALISON
Other - Middle Name:MARIE
Other - Last Name:BATES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2000 AUBURN DR
Mailing Address - Street 2:STE 350
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4327
Mailing Address - Country:US
Mailing Address - Phone:440-646-1600
Mailing Address - Fax:440-646-1505
Practice Address - Street 1:4240 MUNSON ST. NW
Practice Address - Street 2:STE C
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-4804
Practice Address - Country:US
Practice Address - Phone:330-492-2327
Practice Address - Fax:330-492-0953
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.143535207ND0101X
MI4301093769207NS0135X, 207ND0101X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
No207N00000XAllopathic & Osteopathic PhysiciansDermatology