| NPI | 1457690968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN K GREKIN President 586-759-5525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2013-02-04 |