| NPI | 1922557347 |
|---|---|
| Doing Business As | STONEGATE DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | WARREN WHITE Vice President Physician Practices 269-983-8507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 5101020760) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |