ASMSC-VALPARAISO IN PC

MILL CREEK, IN
NPI1356932883
Doing Business AsADVANCED SKIN AND MOHS SURGERY CLINICS
Entity TypeOrganization
Authorized ContactCLARENCE W BROWN
Owner, CEO, President
269-985-0021
Organization Subpart ?No
Primary Taxonomy207ND0101X Dermatology, MOHS-Micrographic Surgery
Additional Taxonomies207N00000X Dermatology
207ND0900X Dermatology, Dermatopathology
207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology
207ZD0900X Pathology, Dermatopathology
208200000X Plastic Surgery
Enumeration Date2021-01-28
Last Update Date2021-01-28
Business Address
ASMSC-VALPARAISO IN PC
6445 E DIVISION RD
MILL CREEK, IN 46365-9798
Phone number: 269-985-0021
Mailing Address
ASMSC-VALPARAISO IN PC
2570 NILES RD
SAINT JOSEPH, MI 49085-3203
Phone number: 269-985-0021