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 |