NPI | 1073542742 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY CARDELLIO President 586-573-3500 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MI 5101005761) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MI 5101012321) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2010-07-30 |