| NPI | 1538135207 |
|---|---|
| Former Legal Business Name | HEARTLAND DERMATOLOGY CENTER, PA |
| Entity Type | Organization |
| Authorized Contact | MATTHEW P SHAFFER President 785-577-4448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2011-12-29 |