Dermatology Center of Oxford, P.c.

NPI #1518146323 in Metamora, Michigan

Provider Information

NPI Number: 1518146323
Entity Type: Organization
Organization Name: Dermatology Center of Oxford, P.c.
Primary Specialty: Dermatology
Enumeration Date: Oct 29, 2007
Last Updated: Oct 29, 2007

Practice Location

Address: 2227 ROCK VALLEY RD
Address 2: SUITE A
City: Metamora
State: Michigan
ZIP Code: 48455-9333
Phone: (248) 390-0435

Authorized Official

Name: DR. THOMAS HENRY BONINO JR., D.O.
Title: PHYSICIAN/PRESIDENT
Phone: (248) 390-0435

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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