Dermatology Center PC
Specialist in Redford, MI. Organization (NPI-2).
NPI number1083785877
StatusActive
Last updated in NPPESMay 14, 2008
Details
- NPI
- 1083785877
- Entity type
- Organization (NPI-2)
- Legal business name
- Dermatology Center PC
- Organization subpart
- No
- Enumeration date
- Nov 13, 2006
- Last updated
- May 14, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
25510 Plymouth RdRedford, MI 48239-2025
Phone 313-937-1200
Mailing address
25510 Plymouth RdRedford, MI 48239-2025
Phone 313-937-1200
Authorized official
Thomas Bonino
MD
3139371200
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All 5 Specialist providers in Redford · All 1,061 providers in Redford
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