ADVANCED DERMATOLOGY PLLC

SAINT JOSEPH, MI
NPI1538192018
Entity TypeOrganization
Authorized ContactMARK A KUTRIATA
Owner/Provider
269-429-7546
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: MI  5101012454)
Enumeration Date2006-07-08
Last Update Date2010-03-25
Business Address
ADVANCED DERMATOLOGY PLLC
300 E MAIDEN LN
SAINT JOSEPH, MI 49085-8516
Phone number: 269-429-7546
Mailing Address
ADVANCED DERMATOLOGY PLLC
300 E MAIDEN LN
SAINT JOSEPH, MI 49085-8516
Phone number: 269-429-7546
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