NPI | 1649542689 |
---|---|
Entity Type | Organization |
Authorized Contact | FARAH KATHERINE MALICK Physician 248-743-9330 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MI 4301083995) |
Enumeration Date | 2012-02-07 |
Last Update Date | 2012-04-25 |