| NPI | 1265645535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN G SANDLER Owner 586-997-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 4301058522) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MI 4301058522) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-28 |