| NPI | 1427105469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI HADDAD President 248-645-0830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: MI LH010584) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |