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1457406217
LIVONIA DERMATOLOGY PLLC
LIVONIA, MI
NPI
1457406217
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Entity Type
Organization
Authorized Contact
DAVID PEGOUSKE
Owner
734-542-8100
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2007-01-24
Last Update Date
2011-12-06
Business Address
LIVONIA DERMATOLOGY PLLC
14801 FARMINGTON RD
LIVONIA, MI 48154-5429
Phone number: 734-542-8100
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Mailing Address
LIVONIA DERMATOLOGY PLLC
14801 FARMINGTON RD
LIVONIA, MI 48154-5429
Phone number: 734-542-8100
Copy
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