| NPI | 1891382032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE W BROWN President / CEO 269-985-0021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2020-12-22 |