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Ann Arbor Dermatology Clinic Pc
Specialist in Ann Arbor, Michigan
NPI 1376765560

Ann Arbor Dermatology Clinic Pc is a Specialist based in Ann Arbor, MI. Ann Arbor Dermatology Clinic Pc practices in Ann Arbor, MI. The NPI Number for Ann Arbor Dermatology Clinic Pc is 1376765560 and holds a License No. 4301036627 (Michigan).

The current practice location address for Ann Arbor Dermatology Clinic Pc is 706 W Huron St, Ann Arbor, MI and can be reached out via phone at 734-996-8757 and via fax at 734-996-8767.

Location: 706 W Huron St, Ann Arbor, MI, 48103-4212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376765560
Provider Name
Ann Arbor Dermatology Clinic Pc
Credential
Provider Entity Type
Organization
Address
706 W Huron St, Ann Arbor, MI, 48103-4212
Phone Number
734-996-8757
Fax Number
734-996-8767
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0H11070 01 MI BLUE CROSS BLUE SHIELD #
1422078-10 05 MI
DF9791 01 PALMETTO GBA
institution
Provider Business Practice Location Address Details
Address
706 W Huron St
City
Ann Arbor
State
Michigan
Zip
48103-4212
Phone Number
734-996-8757
Fax Number
734-996-8767
person
Provider Business Mailing Address Details
Address
706 W Huron St
City
Ann Arbor
State
Michigan
Zip
48103-4212
Phone Number
734-996-8757
Fax Number
734-996-8767
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
4301036627 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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