Aesthetic Dermatology & Cosmetic Surgery Medical Associates, INC
NPI #1639162480 in Mill Valley, California
Provider Information
- NPI Number
- 1639162480
- Entity Type
- Organization
- Organization Name
- Aesthetic Dermatology & Cosmetic Surgery Medical Associates, INC
- Primary Specialty
- Dermatology
- Enumeration Date
- Aug 26, 2005
- Last Updated
- Dec 16, 2022
Practice Location
- Address
- 535 MILLER AVE
- City
- Mill Valley
- State
- California
- ZIP Code
- 94941-2905
- Phone
- (415) 383-5486
Authorized Official
- Name
- MICHELLE LANOUE
- Title
- REMOTE BUSINESS SUPERVISOR
- Phone
- (605) 484-7519
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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