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Martin Hart, M.D., P.C.

Dermatology in Waterford, MI. Organization (NPI-2).

NPI number1992016117
StatusActive
Last updated in NPPESJun 23, 2010

Details

NPI
1992016117
Entity type
Organization (NPI-2)
Legal business name
Martin Hart, M.D., P.C.
Organization subpart
No
Enumeration date
Jun 23, 2010
Last updated
Jun 23, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology4301026680MIYes

Practice location

7561 Highland Rd
Waterford, MI 48327-1405

Phone 248-666-1400 · Fax 248-666-2404

Mailing address

7561 Highland Rd
Waterford, MI 48327-1405

Phone 248-666-1400 · Fax 248-666-2404

Authorized official

Martin Hart
Physician
2486661400

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