| NPI | 1336879303 |
|---|---|
| Doing Business As | GREAT LAKES SKIN CARE |
| Doing Business As | CENTERPOINT DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | STEVEN LOUIS ARMUS Owner/Member 262-989-0381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-07-18 |