NPI | 1356932883 |
---|---|
Doing Business As | ADVANCED SKIN AND MOHS SURGERY CLINICS |
Entity Type | Organization |
Authorized Contact | CLARENCE W BROWN Owner, CEO, President 269-985-0021 |
Organization Subpart ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
Additional Taxonomies | 207N00000X Dermatology |
207ND0900X Dermatology, Dermatopathology | |
207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology | |
207ZD0900X Pathology, Dermatopathology | |
208200000X Plastic Surgery | |
Enumeration Date | 2021-01-28 |
Last Update Date | 2021-01-28 |