NPI | 1316656721 |
---|---|
Entity Type | Organization |
Authorized Contact | VERONICA SANCHEZ Manager 262-754-4488 |
Organization Subpart ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
Additional Taxonomies | 207N00000X Dermatology |
Enumeration Date | 2022-11-15 |
Last Update Date | 2022-11-17 |