New Dermatology Group Ltd
NPI #1710321633 in Iron Mountain, Michigan
Provider Information
- NPI Number
- 1710321633
- Entity Type
- Organization
- Organization Name
- New Dermatology Group Ltd
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- NEW DERMATOLOGY GROUP LTD
- Primary Specialty
- Dermatology
- Enumeration Date
- Apr 22, 2013
- Last Updated
- Apr 22, 2013
Practice Location
- Address
- 440 WOODWARD AVE
- City
- Iron Mountain
- State
- Michigan
- ZIP Code
- 49801-4631
- Phone
- (920) 965-0345
Authorized Official
- Name
- KEVAN GERARD LEWIS, MD
- Title
- AUTHORIZED OFFICIAL
- Phone
- (920) 965-0345
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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