| NPI | 1790950939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | D'ANNE M KLEINSMITH Owner/Physician 248-855-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 4301042579) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |