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 |