| NPI | 1083916407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MARIE HIDINGER Office Manager 248-623-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI SK042375) |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2010-11-18 |