Cardinal Dermatology LLC
NPI #1174390926 in South Bend, Indiana
Provider Information
- NPI Number
- 1174390926
- Entity Type
- Organization
- Organization Name
- Cardinal Dermatology LLC
- Primary Specialty
- Dermatology
- Enumeration Date
- Dec 11, 2023
- Last Updated
- Jan 2, 2025
Practice Location
- Address
- 4322 LAFAYETTE BLVD
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46614
- Phone
- (574) 391-1111
Authorized Official
- Name
- LUIZ CARLOS PANTALENA FILHO, MD, PHD
- Title
- MEMBER
- Phone
- (650) 387-9765
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - Procedural Dermatology — Procedural Dermatology |
| Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery |
| Dermatology |
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