| NPI | 1184597825 |
|---|---|
| Doing Business As | BEACON SKIN & SURGERIES - LIVONIA |
| Entity Type | Organization |
| Authorized Contact | FANAR JEMMOA Office Manager 248-852-1900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-09-29 |