NPI | 1861430779 |
---|---|
Doing Business As | ASSOCIATES IN DERMATOLOGY OF TRAVERSE CITY |
Entity Type | Organization |
Authorized Contact | JOAN MICHELLE GRINER President 231-935-0625 |
Organization Subpart ? | No |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: MI JG058054) |
Enumeration Date | 2006-06-03 |
Last Update Date | 2007-10-25 |