| NPI | 1306011887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN G SANDLER Owner 248-969-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MI 058522) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-28 |