A Z Dermatology PC
Dermatology in Southfield, MI. Organization (NPI-2).
NPI number1942468616
StatusActive
Last updated in NPPESMay 29, 2008
Details
- NPI
- 1942468616
- Entity type
- Organization (NPI-2)
- Legal business name
- A Z Dermatology PC
- Organization subpart
- No
- Enumeration date
- May 29, 2008
- Last updated
- May 29, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 4301046052 | MI | Yes |
| 207NS0135X | Dermatology, Procedural Dermatology | 4301046052 | MI |
Practice location
25225 GreenfieldSouthfield, MI 48075
Phone 248-788-4380
Mailing address
31051 Westwood RoadIn Care Of A Zelikov MD
Farmington Hills, MI 48331
Phone 248-788-4380
Authorized official
Anatoly Zelikov
Owner
2487884380
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