| NPI | 1942468616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANATOLY ZELIKOV Owner 248-788-4380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 4301046052) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: MI 4301046052) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |