ADVANCED DERMATOLOGY AND COSMETIC SURGERY LLC

SEYMOUR, IN
NPI1427216365
Entity TypeOrganization
Authorized ContactKEVIN MICHAEL CRAWFORD
Dermatologist
812-358-7705
Organization Subpart ?No
Primary Taxonomy207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: IN  01063019A)
Additional Taxonomies207N00000X Dermatology
(Licence: IN  01063019A)
207NS0135X Dermatology, Procedural Dermatology
(Licence: IN  01063019A)
Enumeration Date2008-05-28
Last Update Date2011-08-08
Business Address
ADVANCED DERMATOLOGY AND COSMETIC SURGERY LLC
303 S WALNUT ST
SEYMOUR, IN 47274-2368
Phone number: 812-358-7705
Mailing Address
ADVANCED DERMATOLOGY AND COSMETIC SURGERY LLC
PO BOX 1077
SEYMOUR, IN 47274-1077
Phone number: 812-358-7705
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