| NPI | 1841065463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA BRIMHALL Owner 216-280-1875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2023-11-24 |
| Last Update Date | 2023-12-15 |