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Dermatology Assoc Of Macomb Oakland Pc
Specialist in Warren, Michigan
NPI 1417058116

Dermatology Assoc Of Macomb Oakland Pc is a Specialist based in Warren, MI. Dermatology Assoc Of Macomb Oakland Pc practices in Warren, MI. The NPI Number for Dermatology Assoc Of Macomb Oakland Pc is 1417058116 and holds a License No. (Michigan).

The current practice location address for Dermatology Assoc Of Macomb Oakland Pc is 11250 E 13 Mile Rd, Warren, MI and can be reached out via phone at 586-751-2520 and via fax at 586-751-7004.

Location: 11250 E 13 Mile Rd, Warren, MI, 48093-2597
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417058116
Provider Name
Dermatology Assoc Of Macomb Oakland Pc
Credential
Provider Entity Type
Organization
Address
11250 E 13 Mile Rd, Warren, MI, 48093-2597
Phone Number
586-751-2520
Fax Number
586-751-7004
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
070E060680 01 MI BCBSM
institution
Provider Business Practice Location Address Details
Address
11250 E 13 Mile Rd
City
Warren
State
Michigan
Zip
48093-2597
Phone Number
586-751-2520
Fax Number
586-751-7004
person
Provider Business Mailing Address Details
Address
11250 E 13 Mile Rd
City
Warren
State
Michigan
Zip
48093-2597
Phone Number
586-751-2520
Fax Number
586-751-7004
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
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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