| NPI | 1154868545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG SINGER Owner/Authorized Official 248-792-3785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 4301071579) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301071579) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-29 |