| NPI | 1346732880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREL LEITHAUSER Owner And Medical Director 231-632-8456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MI 4301104387) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2023-01-17 |