| NPI | 1932137932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH KEMERER Owner/Physician 989-790-5894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 5101010926) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-08-22 |