NPI | 1679158174 |
---|---|
Entity Type | Organization |
Authorized Contact | CLARENCE W BROWN Owner/CEO/President 269-985-0021 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
207ND0900X Dermatology, Dermatopathology | |
207ZD0900X Pathology, Dermatopathology | |
Enumeration Date | 2021-03-16 |
Last Update Date | 2021-03-16 |