| NPI | 1023045366 |
|---|---|
| Doing Business As | MIDWEST DERMATOLOGY AND LASER CENTER |
| Entity Type | Organization |
| Authorized Contact | CAROL FOULDS President 913-387-1120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: KS 0430930) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2011-04-27 |