Northwest Dermatolgy Group, PC
Dermatology, MOHS-Micrographic Surgery in Southfield, MI. Organization (NPI-2).
NPI number1285656777
StatusActive
Last updated in NPPESJul 27, 2018
Details
- NPI
- 1285656777
- Entity type
- Organization (NPI-2)
- Legal business name
- Northwest Dermatolgy Group, PC
- Organization subpart
- No
- Enumeration date
- Jul 24, 2006
- Last updated
- Jul 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | – | – | Yes |
Practice location
29355 Northwestern Hwy#200
Southfield, MI 48034
Phone 248-353-0880
Mailing address
29355 Northwestern Hwy#200
Southfield, MI 48034-1053
Phone 248-353-0880
Authorized official
Emily B Levin
President
2483530880
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