NPI | 1598119547 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRIS AUGUSTIAN CEO 920-405-5382 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 208200000X Plastic Surgery |
Enumeration Date | 2016-04-15 |
Last Update Date | 2022-04-20 |