# DERMATOLOGY & SKIN SURGERY CENTER

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

## Provider details

- **NPI number:** 1932538428
- **Authorized official:** MS. PATTY YOST (SITE MANAGER)
- **Authorized official phone:** (269) 789-1670

## Contact information

- **Practice address:** 203 WINSTON DR, MARSHALL, MI 49068-8526
- **Practice address phone:** (269) 789-1670
- **Practice address fax:** (269) 789-1593
- **Mailing address:** 203 WINSTON DR, MARSHALL, MI 49068-8526
- **Mailing address phone:** (269) 789-1670
- **Mailing address fax:** (269) 789-1593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 4704259375 | MI | Yes |

## Other

- **Enumeration date:** 11/05/2013
- **Last updated:** 11/05/2013