| NPI | 1053500454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER E MCDONALD Business Office Manager 248-293-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2015-05-12 |