NEW DERMATOLOGY GROUP LTD

IRON MOUNTAIN, MI
NPI1710321633
Entity TypeOrganization
Authorized ContactKEVAN GERARD LEWIS
Authorized Official
920-965-0345
Organization Subpart ?Yes
Primary Taxonomy207N00000X Dermatology
Enumeration Date2013-04-22
Last Update Date2013-04-22
Business Address
NEW DERMATOLOGY GROUP LTD
440 WOODWARD AVE
IRON MOUNTAIN, MI 49801-4631
Phone number: 920-965-0345
Mailing Address
NEW DERMATOLOGY GROUP LTD
2021 S WEBSTER AVE
GREEN BAY, WI 54301-2257
Phone number: 920-965-0345
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