| NPI | 1477841245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA PALERMINO Practice Manager 248-623-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 4301 086079) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2021-06-28 |