| NPI | 1891430336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIESHA MERATI Owner 269-271-1410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology |
| 207N00000X Dermatology | |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2023-11-07 |