Advanced Dermatology of Michigan PC

NPI #1851708929 in Wyandotte, Michigan

Provider Information

NPI Number: 1851708929
Entity Type: Organization
Organization Name: Advanced Dermatology of Michigan PC
Primary Specialty: Dermatology
Enumeration Date: Jul 21, 2014
Last Updated: Jul 21, 2014

Practice Location

Address: 1500 EUREKA RD
City: Wyandotte
State: Michigan
ZIP Code: 48192-6103
Phone: (734) 282-2500

Authorized Official

Name: MATT LEAVITT, DO
Title: OWNER
Phone: (407) 875-2080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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