Organization
ROCHESTER SKIN CANCER CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER E MCDONALD (BUSINESS OFFICE MANAGER)
(248) 293-0800
Entity
Organization
Contact information
Practice address
405 BARCLAY CIR, ROCHESTER HILLS, MI 48307-4573
(248) 293-0800
Mailing address
405 BARCLAY CIR, ROCHESTER HILLS, MI 48307-4573
(248) 293-0800
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070F322730
BLUE CROSS BLUE SHIELD
MI
01
—
5607758
AETNA
MI
01
—
DB75711
RAILROAD MEDICARE
MI
Enumeration date
10/22/2007
Last updated
05/12/2015
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