# INTEGRATIVE SKIN CENTER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316207871
- **Authorized official:** DR. NATALIE MONET MOULTON-LEVY MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (734) 241-4950

## Contact information

- **Practice address:** 2246 N MONROE ST, MONROE, MI 48162-4254
- **Practice address phone:** (646) 287-0734
- **Mailing address:** 2246 N MONROE ST, MONROE, MI 48162-4254
- **Mailing address phone:** (646) 287-0734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 05/17/2012
- **Last updated:** 11/30/2012
