| NPI | 1750568747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA HIGGENBOTHAM President 248-931-2773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: MI LH044277) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |