| NPI | 1962625053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD STEPHEN LERCHIN Physician 586-566-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 4301030015) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2008-04-29 |