NPI | 1346356615 |
---|---|
Entity Type | Organization |
Authorized Contact | CATHERINE MCCONNELL OGAWA Physician/Owner 248-340-9465 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MI 4301029328) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2008-01-29 |