| 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 |