NPI | 1780863498 |
---|---|
Doing Business As | DERMATOLOGY CENTER OF LAKE ORION |
Entity Type | Organization |
Authorized Contact | MADELINE TURNER President 248-814-7546 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MI 5101011132) |
Enumeration Date | 2007-10-30 |
Last Update Date | 2011-11-02 |