| NPI | 1649562521 |
|---|---|
| Doing Business As | SUNRISE DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | SARAH WIERSZALOWSKI Administrator 251-544-6407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AL MD30842) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2019-04-05 |