Clarkston Dermatology & Vein Center Pllc

NPI 1003943408 - Dermatology - 207N00000X

NPI Details
NPI 1003943408
Enumeration Date 02/27/2007
Last Updated 06/08/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WENDY L WENDY
Position MEMBER
Phone (248) 620-3376
Fax (248) 620-3379
Practice Location
5701 BOW POINTE DR
SUITE 215
CLARKSTON MI, 48346-3198, US
Phone (248) 620-3376
Fax (248) 620-3379
Business Location
5701 BOW POINTE DR
SUITE 215
CLARKSTON MI, 48346-3198, US
Phone (248) 620-3376
Fax (248) 620-3379
Toxanomy
Taxonomy Code 207N00000X
License State Michigan
License Number 5101014699
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According to our database, Clarkston Dermatology & Vein Center Pllc NPI is 1003943408, taxonomy code is 207N00000X and license number is 5101014699, license state is located at Michigan. Clarkston Dermatology & Vein Center Pllc physically located at 5701 Bow Pointe Dr, Clarkston MI, 48346-3198. NPI Number 1033115704 has the healthcare provider type.

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1003943408 NPI number is provided on an as is basis without warranty of any kind. 1003943408 is maintained by the National Plan & Provider Enumeration System. The contents of Clarkston Dermatology & Vein Center Pllc are for informational purposes only.