Advanced Dermatology and Cosmetic Surgery LLC

NPI #1427216365 in Seymour, Indiana

Provider Information

NPI Number: 1427216365
Entity Type: Organization
Organization Name: Advanced Dermatology and Cosmetic Surgery LLC
Primary Specialty: Dermatology - MOHS-Micrographic Surgery
Enumeration Date: May 28, 2008
Last Updated: Aug 8, 2011

Practice Location

Address: 303 S WALNUT ST
City: Seymour
State: Indiana
ZIP Code: 47274-2368
Phone: (812) 358-7705

Authorized Official

Name: DR. KEVIN MICHAEL CRAWFORD, M.D.
Title: DERMATOLOGIST
Phone: (812) 358-7705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X	Primary

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Jane D Lim, M.D.	Dermatology - MOHS-Micrographic Surgery	Evansville	AI Deep Dive
Carl William Hanke, MD	Dermatology - MOHS-Micrographic Surgery	Indianapolis	AI Deep Dive
DR. John K Randall, RPH, MD	Dermatology - MOHS-Micrographic Surgery	West Lafayette	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Deaconess Hospital, INC	Dermatology - MOHS-Micrographic Surgery	Evansville	AI Deep Dive

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