| NPI | 1902847098 |
|---|---|
| Doing Business As | SOUTHWEST MICHIGAN DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | MARK C. RUMMEL President 269-341-4554 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2022-01-12 |