NPI | 1770756371 |
---|---|
Entity Type | Organization |
Authorized Contact | LORNA THOMAS President 313-874-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: MI 4301404289) |
Enumeration Date | 2008-04-04 |
Last Update Date | 2008-04-04 |