| NPI | 1982736054 |
|---|---|
| Doing Business As | SAGINAW BAY DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | MARDI PAVLICHEK Office Manager 989-883-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MI 4301074469) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MI 5601004463) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2010-08-19 |