Svc Dermatology Pc

NPI 1174565600 - Dermatology - 207N00000X

NPI Details
NPI 1174565600
Enumeration Date 06/11/2006
Last Updated 02/20/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ERIC SCOTT ERIC
Position PRESIDENT
Phone (810) 629-0336
Fax (810) 629-7251
Practice Location
305 N LEROY ST
FENTON MI, 48430-2729, US
Phone (810) 629-0336
Fax (810) 629-7251
Business Location
305 N LEROY ST
FENTON MI, 48430-2729, US
Phone (810) 629-0336
Fax (810) 629-7251
Toxanomy
Taxonomy Code 207N00000X
License State
License Number
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According to our database, Svc Dermatology Pc NPI is 1174565600, taxonomy code is 207N00000X Svc Dermatology Pc physically located at 305 N Leroy St, Fenton MI, 48430-2729. NPI Number 1033115704 has the healthcare provider type.

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1174565600 NPI number is provided on an as is basis without warranty of any kind. 1174565600 is maintained by the National Plan & Provider Enumeration System. The contents of Svc Dermatology Pc are for informational purposes only.