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Contact Information

ACADEMIC DERMATOLOGY & COSMETIC SURGERY CENTER PLLC
51 S WASHINGTON ST
SUITE G
OXFORD CHARTER TOWNSHIP, MI48371-6418
 Phone: 586-969-8600
 Fax: 586-997-9738
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for ACADEMIC DERMATOLOGY & COSMETIC SURGERY CENTER PLLC

NPI Number 1306011887
LBN Legal business name ACADEMIC DERMATOLOGY & COSMETIC SURGERY CENTER PLLC
Authorized official BRIAN SANDLER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/25/2008
Last updated 04/28/2008 - About 18 years ago
Identifiers
MI License # 058522
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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