| 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 |