| 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 |