| NPI | 1598959603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A. STIFF Owner/President 248-355-5047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| 207ND0900X Dermatology, Dermatopathology | |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2014-09-17 |