Cosmetic Skin and Laser Center

NPI #1811139082 in Petoskey, Michigan

Provider Information

NPI Number
1811139082
Entity Type
Organization
Organization Name
Cosmetic Skin and Laser Center
Primary Specialty
General Practice
Enumeration Date
Apr 2, 2009
Last Updated
Apr 2, 2009

Practice Location

Address
116 W MITCHELL ST
ZIP Code
49770-2324
Phone
(231) 347-7395

Authorized Official

Name
GUSTAV JAILING LO, M.D.
Title
OWNER
Phone
(231) 347-7395

Specialties & Taxonomy Codes

Specialty
General Practice

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