Organization
MIDWEST CENTER FOR DERMATOLOGY & PATHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ALTMAN M.D. (DIRECTOR)
(586) 574-2800
Entity
Organization
Contact information
Practice address
43900 GARFIELD RD, SUITE 100, CLINTON TOWNSHIP, MI 48038-1128
(586) 286-0112
(586) 286-2702
Mailing address
43900 GARFIELD RD, SUITE 100, CLINTON TOWNSHIP, MI 48038-1128
(586) 286-0112
(586) 286-2702
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
Primary
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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