| NPI | 1841469830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SULEMAN J. BANGASH Owner 586-944-3391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IL 036116375) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |