| NPI | 1164858221 |
|---|---|
| Doing Business As | IHA DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A ELLIOTT Cvo/COO 734-747-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2013-09-23 |