NPI | 1013183052 |
---|---|
Doing Business As | MIDDLEBELT DERMATOLOGY CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL J MAHON Physician/Owner 248-477-7022 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MI 5101006141) |
Enumeration Date | 2008-04-30 |
Last Update Date | 2009-07-22 |