Legacy Dermatology Group PC

NPI #1588019053 in Waterford, Michigan

Provider Information

NPI Number: 1588019053
Entity Type: Organization
Organization Name: Legacy Dermatology Group PC
Primary Specialty: Dermatology
Enumeration Date: May 3, 2016
Last Updated: Apr 30, 2020

Practice Location

Address: 1392 S CASS LAKE RD
City: Waterford
State: Michigan
ZIP Code: 48328
Phone: (248) 338-6400

Authorized Official

Name: MICHELLE SUE LEGACY, DO
Title: PRESIDENT
Phone: (248) 338-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
Marvin David Siegel, MD	Dermatology	Waterford	AI Deep Dive
Michael Tobin Siegel, MD	Dermatology	Waterford	AI Deep Dive
DR. Michelle Sue Legacy, DO	Dermatology	Waterford	AI Deep Dive

Organizations

Provider Name	Specialty	City
Precision Dermatology	Dermatology	Waterford	AI Deep Dive
Marvin D. Siegel, M.d., P.c.	Dermatology	Waterford	AI Deep Dive

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