# OAKLAND DERMATOLOGY ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NELDAGAE S CHISA MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386655926
- **Authorized official:** NELDAGAE CHISA (PRESIDENT OWNER)
- **Authorized official phone:** (248) 647-5015

## Contact information

- **Practice address:** 36700 WOODWARD AVE, BLOOMFIELD HILLS, MI 48304-0926
- **Practice address phone:** (248) 647-5750
- **Practice address fax:** (248) 647-6008
- **Mailing address:** 36700 WOODWARD AVE, BLOOMFIELD HILLS, MI 48304-0926

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | 4301022545 | MI | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 08/22/2020