Organization
MICHIGAN CENTER FOR DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS P. WALDINGER M.D. (PHYSICIAN)
(313) 274-5810
Entity
Organization
Contact information
Practice address
835 MASON ST STE C200, DEARBORN, MI 48124-2231
(313) 274-5810
(313) 274-1499
Mailing address
835 MASON ST STE C200, DEARBORN, MI 48124-2231
(313) 274-5810
(313) 274-1499
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
4301043778
MI
Other
Enumeration date
05/15/2007
Last updated
03/17/2018
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