| NPI | 1871784702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNA RYDER DIGGS President Owner 313-882-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 4301064244) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2013-06-24 |