| NPI | 1629121256 |
|---|---|
| Doing Business As | IHA DERMATOLOGIC SURGERY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A ELLIOTT VP/Chief Operating Officer 734-747-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2011-04-01 |