| NPI | 1326193202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J HAIKEN President 239-691-3987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL 49016) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2023-01-04 |