| NPI | 1114719234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH A HAMIEL Manager 517-487-0128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 208000000X Pediatrics |
| 207NI0002X Dermatology Clinical & Laboratory Dermatological Immunology | |
| 207ZC0006X Pathology Clinical Pathology | |
| 207ND0900X Dermatology Dermatopathology | |
| 208200000X Plastic Surgery | |
| 207NS0135X Dermatology Procedural Dermatology | |
| 2080A0000X Pediatrics Adolescent Medicine | |
| 363A00000X Physician Assistant | |
| 207ND0101X Dermatology MOHS-Micrographic Surgery | |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-09-04 |