NPI | 1235517418 |
---|---|
Doing Business As | IHA ACADEMIC DERMATOLOGY CENTER |
Entity Type | Organization |
Authorized Contact | CYNTHIA ELLIOTT Executive Chief Operating Office 734-747-6766 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2015-05-08 |
Last Update Date | 2015-05-08 |