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 |