| NPI | 1003095084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALTMAN Director 586-574-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2007-10-26 |