Registry details
Type
Organization
Primary specialty
Dermatology
Enumerated
Jun 24, 2007
License(s)
4301029683 (MI), 4301029683 (MI), 4301029683 (MI), 4301029683 (MI), 4301029683 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1701 BALDWIN AVE SUITE 207 | Pontiac, MI 48340-3412 | 248-858-2255 |
| LOCATION | 1701 BALDWIN AVE SUITE 207 | Pontiac, MI 48340-3412 | 248-858-2255 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.